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General NPI Number Information
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NPI Number | 1053120220
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Entity Type | Organization
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Legal Business Name | 7TH AVENUE CHIROPRACTIC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 3722 7TH AVE
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City | ANOKA
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State | MN
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Zip | 55303-1465
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Country | US
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Telephone | 763-312-1257
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Fax |
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Provider Business Mailing Address
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Address Line | 902 NORWOOD AVE
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City | ANOKA
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State | MN
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Zip | 55303-1429
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Country | US
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Telephone | 763-321-4362
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Fax |
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Authorized Official
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Title or Position | OWNER AND DC
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Name | HUNTER SMITH
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Credential | DC
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Telephone | 763-312-1257
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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 |
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License Number State |
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