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General NPI Number Information
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NPI Number | 1386447928
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Entity Type | Organization
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Legal Business Name | JING RIVER ACUPUCTURE
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Dates
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Enumeration Date | 03/29/2025
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 10700 HWY 55 STE 185
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City | PLYMOUTH
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State | MN
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Zip | 55441-6160
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Country | US
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Telephone | 952-314-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 10700 HWY 55 STE 185
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City | PLYMOUTH
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State | MN
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Zip | 55441-6160
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Country | US
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Telephone | 952-314-1000
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DR. SEAN YU
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Credential | PHD, LAC
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Telephone | 952-314-1000
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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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