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General NPI Number Information
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NPI Number | 1003986886
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Entity Type | Individual
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Provider Name | CHAD JEREMY PETTERSON DC
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 825 BAHLS DRIVE
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City | HASTINGS
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State | MN
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Zip | 55033
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Country | US
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Telephone | 651-480-1128
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Fax | 651-438-3929
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Provider Business Mailing Address
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Address Line | 825 BAHLS DRIVE
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City | HASTINGS
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State | MN
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Zip | 55033
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Country | US
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Telephone | 651-480-1128
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Fax | 651-438-3929
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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 | 3748
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License Number State | MN
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