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General NPI Number Information
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NPI Number | 1801764063
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Entity Type | Organization
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Legal Business Name | SUNFLOWER BLOOM ACUPUNCTURE AND HEALING ARTS LLC
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 101 W BURNSVILLE PKWY STE 212
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City | BURNSVILLE
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State | MN
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Zip | 55337-4401
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Country | US
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Telephone | 612-405-3775
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Fax | 612-682-2356
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Provider Business Mailing Address
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Address Line | 101 W BURNSVILLE PKWY STE 212
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City | BURNSVILLE
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State | MN
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Zip | 55337-4401
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Country | US
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Telephone | 612-405-3775
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Fax | 612-682-2356
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Authorized Official
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Title or Position | DOCTOR OF ACUPUNCTURE AND CHINESE M
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Name | DR. CAROLYN JUNE LANEY
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Credential | DACM
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Telephone | 612-405-3775
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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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