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General NPI Number Information
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NPI Number | 1124290473
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Entity Type | Organization
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Legal Business Name | CHAD R LAUX DC PA
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 811 LASALLE AVE SUITE 207C
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City | MINNEAPOLIS
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State | MN
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Zip | 55402-2030
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Country | US
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Telephone | 612-343-3323
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Fax | 612-343-5558
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Provider Business Mailing Address
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Address Line | 811 LASALLE AVE SUITE 207C
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City | MINNEAPOLIS
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State | MN
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Zip | 55402-2030
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Country | US
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Telephone | 612-343-3323
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Fax | 612-343-5558
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHAD ROBERT LAUX
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Credential | D.C.
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Telephone | 612-343-3323
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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 | 4070
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License Number State | MN
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