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General NPI Number Information
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NPI Number | 1043613540
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Entity Type | Organization
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Legal Business Name | NORTHLAND CHIROPRACTIC P.A.
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 1476 130TH AVE
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City | WELCOME
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State | MN
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Zip | 56181-1314
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Country | US
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Telephone | 507-848-0323
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Fax |
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Provider Business Mailing Address
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Address Line | 1476 130TH AVE
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City | WELCOME
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State | MN
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Zip | 56181-1314
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Country | US
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Telephone | 507-848-0323
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BROOKS AARON ROHMAN
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Credential | D.C.
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Telephone | 507-848-0291
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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 | 4897
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License Number State | MN
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