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General NPI Number Information
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NPI Number | 1720143449
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND CHINESE MEDICINE CENTER INC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7250 FRANCE AVE S SUITE 308
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City | EDINA
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State | MN
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Zip | 55435-4305
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Country | US
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Telephone | 952-820-0877
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Fax |
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Provider Business Mailing Address
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Address Line | 7250 FRANCE AVE S SUITE 308
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City | EDINA
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State | MN
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Zip | 55435-4305
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EILEEN ZHUO
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Credential |
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Telephone | 952-820-0877
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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 | 5079408
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License Number State | MN
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