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General NPI Number Information
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NPI Number | 1053253781
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Entity Type | Organization
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Legal Business Name | WYN CHIROPRACTIC & REHABILITATION PLLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 14300 BUCK HILL RD STE E
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City | BURNSVILLE
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State | MN
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Zip | 55306-6245
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Country | US
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Telephone | 952-467-6771
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Fax | 844-424-1518
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Provider Business Mailing Address
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Address Line | 14300 BUCK HILL RD STE E
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City | BURNSVILLE
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State | MN
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Zip | 55306-6245
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Country | US
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Telephone | 952-467-6771
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Fax | 844-424-1518
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Authorized Official
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Title or Position | OWNER
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Name | GAVIN SPENNEWYN
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Credential | DC
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Telephone | 952-467-6771
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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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