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General NPI Number Information
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NPI Number | 1053049189
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Entity Type | Individual
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Provider Name | STACY NEAL DC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 1602 CLIFF ROAD EAST
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City | BURNSVILLE
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State | MN
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Zip | 55337
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Country | US
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Telephone | 612-710-7756
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Fax |
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Provider Business Mailing Address
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Address Line | 1606 CLIFF RD E
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City | BURNSVILLE
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State | MN
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Zip | 55337-1300
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Country | US
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Telephone | 952-894-6300
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Fax | 952-894-2601
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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 | 7014
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License Number State | MN
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