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General NPI Number Information
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NPI Number | 1982569703
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Entity Type | Organization
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Legal Business Name | SELBY SELECT ACUPUNCTURE OF MINNESOTA PLLC
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 400 SELBY AVE STE G
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City | SAINT PAUL
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State | MN
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Zip | 55102-4520
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Country | US
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Telephone | 651-224-6678
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Fax | 651-224-6772
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Provider Business Mailing Address
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Address Line | 400 SELBY AVE STE G
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City | SAINT PAUL
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State | MN
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Zip | 55102-4520
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Country | US
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Telephone | 651-224-6678
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Fax | 651-224-6772
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Authorized Official
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Title or Position | OWNER
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Name | JULIANA MCCORMICK
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Credential | L.AC
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Telephone | 651-224-6678
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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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