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NPI 1063596773

NPI 1063596773 : TEAM CHIROPRACTIC & WELLNESS CENTER : MONTICELLO, MN

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General NPI Number Information
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    NPI Number           |    1063596773
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    Entity Type          |    Organization 
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    Legal Business Name  |    TEAM CHIROPRACTIC & WELLNESS CENTER 
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Dates
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    Enumeration Date     |    10/25/2006
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    Last Update Date     |    08/27/2025
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Provider Practice Location Address
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    Address Line         |    355 E BROADWAY ST 
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    City                 |    MONTICELLO
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    State                |    MN
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    Zip                  |    55362-9302
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    Country              |    US
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    Telephone            |    763-295-0303
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    Fax                  |    763-295-6043
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Provider Business Mailing Address
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    Address Line         |    PO BOX 962 
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    City                 |    MONTICELLO
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    State                |    MN
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    Zip                  |    55362-0962
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    Country              |    US
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    Telephone            |    763-295-0303
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    Fax                  |    763-295-6043
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. DOROTHY CAROL SAUNDERS 
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    Credential           |    D.C.
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    Telephone            |    763-295-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    3823
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    License Number State |    MN
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