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General NPI Number Information
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NPI Number | 1083897243
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Entity Type | Organization
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Legal Business Name | URWC, PA
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 1654 COUNTY ROAD E E
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City | VADNAIS HEIGHTS
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State | MN
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Zip | 55110-4637
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Country | US
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Telephone | 651-739-1248
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Fax | 651-264-9844
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Provider Business Mailing Address
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Address Line | 1654 COUNTY ROAD E E
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City | VADNAIS HEIGHTS
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State | MN
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Zip | 55110-4637
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Country | US
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Telephone | 651-739-1248
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Fax | 651-264-9844
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN SEAN CONNERS
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Credential | D.C.
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Telephone | 651-739-1248
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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 | 2372
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License Number State | MN
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