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General NPI Number Information
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NPI Number | 1114003829
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Entity Type | Organization
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Legal Business Name | ROSANN M. FROEHLE DC LLC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 03/01/2013
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Provider Practice Location Address
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Address Line | 76 SAINT CROIX TRL N
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City | LAKELAND
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State | MN
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Zip | 55043-9719
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Country | US
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Telephone | 651-436-6000
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Fax | 651-436-7579
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Provider Business Mailing Address
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Address Line | 76 SAINT CROIX TRL N
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City | LAKELAND
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State | MN
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Zip | 55043-9719
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Country | US
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Telephone | 651-436-6000
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Fax | 651-436-7579
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. ROSANN M FROEHLE
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Credential | D.C.
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Telephone | 651-436-6000
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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 | 3158
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License Number State | MN
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