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General NPI Number Information
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NPI Number | 1720632763
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Entity Type | Organization
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Legal Business Name | CREATIVE ACUPUNCTURE, PC
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 07/02/2022
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Provider Practice Location Address
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Address Line | 8686 BAY PKWY # M2A
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City | BROOKLYN
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State | NY
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Zip | 11214-5119
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Country | US
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Telephone | 718-872-5063
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Fax | 347-236-3248
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Provider Business Mailing Address
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Address Line | PO BOX 541307
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City | FLUSHING
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State | NY
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Zip | 11354-7307
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAN XU
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Credential |
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Telephone | 909-808-8808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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