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General NPI Number Information
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NPI Number | 1821884412
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND LASER CLINIC LLC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 7139 MERRIMAN RD
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City | GARDEN CITY
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State | MI
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Zip | 48135-1952
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Country | US
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Telephone | 734-838-0757
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Fax |
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Provider Business Mailing Address
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Address Line | 7139 MERRIMAN RD
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City | GARDEN CITY
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State | MI
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Zip | 48135-1952
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Country | US
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Telephone | 734-838-0757
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | SHANGXIAO XU
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Credential |
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Telephone | 734-838-0757
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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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