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General NPI Number Information
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NPI Number | 1659664944
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Entity Type | Individual
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Provider Name | XINSONG N/A LI L.AC.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 1660 HIGHWAY 100 S STE 338
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-1573
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Country | US
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Telephone | 952-297-5600
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Fax | 952-224-0152
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Provider Business Mailing Address
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Address Line | 9908 ABBOTT AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55431-2714
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Country | US
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Telephone | 952-297-5600
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Fax | 952-224-0152
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1287
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License Number State | MN
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