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General NPI Number Information
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NPI Number | 1760955017
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Entity Type | Organization
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Legal Business Name | ACKERMAN ACUPUNCTURE LLC
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 2331 108TH LN NE STE 140
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City | BLAINE
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State | MN
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Zip | 55449-5271
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Country | US
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Telephone | 763-477-1338
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Fax |
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Provider Business Mailing Address
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Address Line | 2331 108TH LN NE STE 140
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City | BLAINE
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State | MN
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Zip | 55449-5271
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Country | US
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Telephone | 763-477-1338
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL ACKERMAN
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Credential |
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Telephone | 763-477-1338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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