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General NPI Number Information
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NPI Number | 1144492083
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Entity Type | Organization
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Legal Business Name | TWIN CITIES SPINE & SPORTS, PLLC
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 6409 CITY WEST PKWY SUITE 100
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-7845
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Country | US
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Telephone | 952-941-3311
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Fax | 952-944-2004
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Provider Business Mailing Address
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Address Line | 6409 CITY WEST PKWY SUITE 100
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-7845
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Country | US
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Telephone | 952-941-3311
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Fax | 952-944-2004
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Authorized Official
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Title or Position | CHIROPRACTOR, PHYSICAL THERAPIST
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Name | DR. RICHARD A HILLS
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Credential |
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Telephone | 952-941-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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