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General NPI Number Information
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NPI Number | 1871738682
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Entity Type | Organization
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Legal Business Name | HEALING RESPONSE ACUPUNCTURE & INTEGRATIVE MEDICINE
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 1970 NORTHWESTERN AVE S STE 100
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City | STILLWATER
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State | MN
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Zip | 55082-4088
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Country | US
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Telephone | 651-323-0005
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Fax | 651-927-0099
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Provider Business Mailing Address
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Address Line | 1970 NORTHWESTERN AVE S STE 100
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City | STILLWATER
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State | MN
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Zip | 55082-4088
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Country | US
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Telephone | 651-323-0005
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Fax | 651-927-0099
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Authorized Official
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Title or Position | ADMINISTRATIVE - OFFICE SUPPORT
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Name | TIINA MCDERMOTT
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Credential |
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Telephone | 541-410-6107
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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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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC01012
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License Number State | OR
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