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General NPI Number Information
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NPI Number | 1578097754
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Entity Type | Organization
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Legal Business Name | US HEALTH CLINIC PLLC
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 04/14/2017
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Provider Practice Location Address
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Address Line | 8053 E BLOOMINGTON FWY SUITE 450
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City | BLOOMINGTON
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State | MN
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Zip | 55420-4577
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Country | US
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Telephone | 651-600-6525
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Fax |
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Provider Business Mailing Address
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Address Line | 8053 E BLOOMINGTON FWY SUITE 450
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City | BLOOMINGTON
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State | MN
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Zip | 55420-4577
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Country | US
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Telephone | 651-600-6525
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. FOUNG LO
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Credential | M.D.
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Telephone | 651-600-6525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 1995
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License Number State | MN
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