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General NPI Number Information
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NPI Number | 1104758143
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Entity Type | Individual
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Provider Name | CYNTHIA NELSON
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Gender | Female
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 809 US HIGHWAY 8
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City | SAINT CROIX FALLS
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State | WI
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Zip | 54024-8335
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Country | US
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Telephone | 320-279-0622
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Fax |
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Provider Business Mailing Address
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Address Line | 15690 CANYON WAY
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City | PINE CITY
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State | MN
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Zip | 55063-6043
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Country | US
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Telephone | 320-250-2417
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Fax | 320-250-2417
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 237193-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1475537
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2000
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 14799-146
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1025-55
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License Number State | WI
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