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General NPI Number Information
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NPI Number | 1366316929
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Entity Type | Organization
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Legal Business Name | SUNNYSIDE ACUPUNCTURE LLC
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 157 W 3RD ST STE A
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City | WINONA
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State | MN
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Zip | 55987-3141
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Country | US
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Telephone | 715-245-0755
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Fax |
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Provider Business Mailing Address
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Address Line | 260 LEE ST
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City | WINONA
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State | MN
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Zip | 55987-2346
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Country | US
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Telephone | 715-245-0755
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Fax | 715-245-0755
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Authorized Official
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Title or Position | OWNER
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Name | ANJELICA MAE KINNEY
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Credential | L.AC
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Telephone | 715-245-0755
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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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