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General NPI Number Information
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NPI Number | 1083968457
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Entity Type | Organization
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Legal Business Name | KARN CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 5300 HYLAND GREENS DR STE 110
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City | BLOOMINGTON
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State | MN
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Zip | 55437-3933
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Country | US
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Telephone | 612-554-1983
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Fax |
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Provider Business Mailing Address
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Address Line | 6041 W 94TH ST
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City | BLOOMINGTON
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State | MN
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Zip | 55438-1523
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Country | US
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Telephone | 612-554-1983
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. KELLY SKJEI KARN
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Credential | D. C.
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Telephone | 612-554-1983
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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 | 5486
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License Number State | MN
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