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General NPI Number Information
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NPI Number | 1013665538
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Entity Type | Individual
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Provider Name | DI GUAN L.AC
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Gender | Female
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 2626 E 82ND ST STE 148
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City | BLOOMINGTON
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State | MN
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Zip | 55425-1336
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Country | US
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Telephone | 612-900-0139
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Fax |
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Provider Business Mailing Address
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Address Line | 9133 FOX RUN CIR
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City | EDEN PRAIRIE
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State | MN
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Zip | 55347-2027
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Country | US
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Telephone | 612-380-7831
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1903
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License Number State | MN
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