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General NPI Number Information
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NPI Number | 1013299882
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Entity Type | Organization
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Legal Business Name | NEW HORIZON CHIROPRACTIC & WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 2100 S COLUMBIA RD 114
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City | GRAND FORKS
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State | ND
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Zip | 58201-5895
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Country | US
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Telephone | 701-757-2225
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Fax | 701-757-0740
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Provider Business Mailing Address
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Address Line | 2100 S COLUMBIA RD 114
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City | GRAND FORKS
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State | ND
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Zip | 58201-5895
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Country | US
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Telephone | 701-757-2225
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Fax | 701-757-0740
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | NATHAN A WEISS
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Credential | DC
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Telephone | 701-757-2225
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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 | 890
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License Number State | ND
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