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General NPI Number Information
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NPI Number | 1003148842
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Entity Type | Individual
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Provider Name | CRYSTAL A PFISTERER D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/04/2010
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Last Update Date | 10/27/2018
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Provider Practice Location Address
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Address Line | 5509 EDEN PRAIRIE RD
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City | MINNETONKA
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State | MN
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Zip | 55345-5839
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Country | US
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Telephone | 952-446-7177
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Fax | 952-843-5650
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Provider Business Mailing Address
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Address Line | 8942 XERXES CIR S
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City | BLOOMINGTON
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State | MN
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Zip | 55431-1961
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Country | US
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Telephone | 952-484-2176
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Fax | 952-223-1134
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5466
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 877
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5264
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License Number State | MN
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