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General NPI Number Information
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NPI Number | 1053828467
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Entity Type | Organization
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Legal Business Name | HILLTOP FAMILY CHIROPRACTIC CENTER PA
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 1121 TOWN CENTRE DRIVE SUITE 202
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City | EAGAN
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State | MN
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Zip | 55123
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Country | US
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Telephone | 651-452-7141
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Fax | 651-452-7255
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Provider Business Mailing Address
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Address Line | 1121 TOWN CENTRE DRIVE SUITE 202
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City | EAGAN
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State | MN
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Zip | 55123
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Country | US
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Telephone | 651-452-7141
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Fax | 651-452-7255
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Authorized Official
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Title or Position | DR OWNER
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Name | BRITTANY ASHTON FREESE
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Credential | DC
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Telephone | 507-380-8835
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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 | 5891
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License Number State | MN
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