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General NPI Number Information
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NPI Number | 1902129448
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Entity Type | Organization
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Legal Business Name | BRILLIANT ACUPUNCTURE P.C.
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 17 E BROADWAY STE 402
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City | NEW YORK
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State | NY
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Zip | 10002-6994
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Country | US
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Telephone | 212-406-2439
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Fax |
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Provider Business Mailing Address
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Address Line | 17 E BROADWAY STE 402
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City | NEW YORK
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State | NY
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Zip | 10002-6994
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Country | US
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Telephone | 212-406-2439
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DR. RONG BING ZHU
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Credential |
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Telephone | 19176223333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 000666
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License Number State | NY
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