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General NPI Number Information
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NPI Number | 1285388819
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Entity Type | Organization
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Legal Business Name | RISING SUN HEALING ARTS
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 3626 ORCHARD AVE N
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City | ROBBINSDALE
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State | MN
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Zip | 55422-2147
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Country | US
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Telephone | 612-205-5847
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Fax |
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Provider Business Mailing Address
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Address Line | 3626 ORCHARD AVE N
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City | ROBBINSDALE
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State | MN
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Zip | 55422-2147
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN WILLIAMS DAVIS-FEHR
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Credential | L.AC.
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Telephone | 612-205-5847
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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 |
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License Number State |
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