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General NPI Number Information
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NPI Number | 1063219004
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Entity Type | Individual
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Provider Name | ABBEY MARIE KESSLER L.AC.
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Gender | Female
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 900 LONG LAKE RD STE 160
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City | SAINT PAUL
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State | MN
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Zip | 55112-6414
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Country | US
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Telephone | 612-706-9630
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Fax |
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Provider Business Mailing Address
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Address Line | 4452 3RD AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55419-5110
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Country | US
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Telephone | 612-270-0586
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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 | 2099
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License Number State | MN
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