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General NPI Number Information
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NPI Number | 1356823629
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Entity Type | Organization
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Legal Business Name | BALANCE & ACUPUNCTURE
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 09/04/2018
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Provider Practice Location Address
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Address Line | 20 2ND AVE SW STE B100
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City | ROCHESTER
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State | MN
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Zip | 55902-3000
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Country | US
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Telephone | 507-722-0368
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Fax |
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Provider Business Mailing Address
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Address Line | 1917 NORTHERN VIOLA LN NE
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City | ROCHESTER
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State | MN
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Zip | 55906-6945
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Country | US
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Telephone | 507-722-0368
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WEIXIAO XIA
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Credential | L. AC.
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Telephone | 507-722-0368
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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 | 1737
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License Number State | MN
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