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General NPI Number Information
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NPI Number | 1013106053
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Entity Type | Organization
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Legal Business Name | URBAIN FAMILY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 128 2ND AVE SE
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City | ELGIN
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State | MN
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Zip | 55932-9732
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Country | US
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Telephone | 507-876-9997
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Fax | 507-876-9923
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Provider Business Mailing Address
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Address Line | 128 2ND AVE SE PO BOX 317
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City | ELGIN
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State | MN
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Zip | 55932-9732
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Country | US
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Telephone | 507-876-9997
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. COLLEEN URBAIN HESS
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Credential | D.C
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Telephone | 507-876-9997
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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 | 3916
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License Number State | MN
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