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Sometimes, if you have lots of links with the same anchor text pointing at a page, Google might suspect it is manipulation and stop counting those links.  They might even whack you for it. So, if you have lots of links with "acupuncture NYC" pointing at your page, that might be the problem. Lately, there are also some people who  don't have these types of links, or anything other than natural links pointing at their page, and they are seeing the same problem.