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General NPI Number Information
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NPI Number | 1104376169
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Entity Type | Organization
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Legal Business Name | HJORT CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 3700 W DIVISION ST STE 101
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City | SAINT CLOUD
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State | MN
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Zip | 56301-4031
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Country | US
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Telephone | 320-251-3450
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Fax | 320-203-7594
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Provider Business Mailing Address
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Address Line | 3700 W DIVISION ST STE 101
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City | SAINT CLOUD
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State | MN
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Zip | 56301-4031
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Country | US
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Telephone | 320-251-3450
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Fax | 320-203-7594
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | PAUL A HJORT
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Credential | D.C.
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Telephone | 320-251-3450
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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 | 6262
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License Number State | MN
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