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NPI Code Detail

MEDICARE: YONGRU CAI

MEDICARE: YONGRU CAI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1891438230
Entity Type Code : Individual
Provider Name (Legal Business Name) : YONGRU CAI
Provider Business Mailing Address
First Line : 5251 JAMES AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55430-3445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5251 JAMES AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55430-3445
Country : US
Telephone Number : 612-499-5934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2022
Last Update Date : 04/14/2022

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Directions to “ YONGRU CAI ” Practice Location

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