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General NPI Number Information
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NPI Number | 1134261597
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Entity Type | Individual
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Provider Name | JENNIFER ANDREA LOUREY D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 307 IVY AVE SE
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City | RICHMOND
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State | MN
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Zip | 56368-4509
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Country | US
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Telephone | 320-597-8999
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Fax | 320-597-8995
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Provider Business Mailing Address
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Address Line | 307 IVY AVE SE
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City | RICHMOND
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State | MN
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Zip | 56368-4509
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Country | US
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Telephone | 320-321-0166
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Fax | 320-321-0167
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 299
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 003166
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License Number State | MN
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