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General NPI Number Information
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NPI Number | 1144031675
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Entity Type | Organization
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Legal Business Name | PEAK PERFORMANCE CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 12750 NICOLLET AVE STE 303
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City | BURNSVILLE
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State | MN
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Zip | 55337-4094
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Country | US
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Telephone | 507-476-7345
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Fax |
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Provider Business Mailing Address
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Address Line | 12750 NICOLLET AVE STE 303
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City | BURNSVILLE
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State | MN
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Zip | 55337-4094
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Country | US
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Telephone | 952-807-9914
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Fax | 952-807-9928
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Authorized Official
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Title or Position | PARTNER
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Name | DR. HALEY NICOLE BALEGO
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Credential | D.C.
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Telephone | 612-380-6111
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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 |
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License Number State |
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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 |
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License Number State |
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