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General NPI Number Information
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NPI Number | 1033320742
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Entity Type | Organization
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Legal Business Name | FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 1014 BEL AIR LN NW
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City | ROCHESTER
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State | MN
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Zip | 55901-6992
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Country | US
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Telephone | 507-281-4878
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 BEL AIR LN NW
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City | ROCHESTER
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State | MN
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Zip | 55901-6992
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Country | US
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Telephone | 507-281-4878
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. BOYD WILLIAMS
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Credential |
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Telephone | 507-281-4878
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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 | 2459
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License Number State | MN
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