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General NPI Number Information
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NPI Number | 1124413893
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Entity Type | Organization
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Legal Business Name | AE CHIROPRACTIC PA
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 08/11/2015
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Provider Practice Location Address
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Address Line | 683 BIELENBERG DR STE 104
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City | WOODBURY
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State | MN
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Zip | 55125-1704
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Country | US
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Telephone | 651-702-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 683 BIELENBERG DR STE 104
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City | WOODBURY
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State | MN
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Zip | 55125-1704
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Country | US
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Telephone | 651-702-3322
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER OF AE CHIROPRACTIC
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Name | DR. AARON ERHARDT
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Credential | DC
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Telephone | 701-426-1162
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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 | 1459
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License Number State | MN
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