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General NPI Number Information
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NPI Number | 1992479083
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Entity Type | Individual
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Provider Name | CAITLIN PIACENTINI L.AC
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Gender | Female
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Dates
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Enumeration Date | 08/03/2021
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 101 W BURNSVILLE PKWY STE 207
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City | BURNSVILLE
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State | MN
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Zip | 55337-0010
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Country | US
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Telephone | 651-456-8494
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Fax |
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Provider Business Mailing Address
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Address Line | 972 118TH LN NW
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City | COON RAPIDS
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State | MN
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Zip | 55448-2297
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Country | US
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Telephone | 906-235-4474
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1985
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License Number State | MN
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