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General NPI Number Information
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NPI Number | 1144523929
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Entity Type | Organization
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Legal Business Name | HANDELAND CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 713 PRENTICE ST
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City | GRANITE FALLS
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State | MN
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Zip | 56241-1519
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Country | US
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Telephone | 320-379-1293
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Fax | 320-379-1295
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Provider Business Mailing Address
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Address Line | 713 PRENTICE ST
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City | GRANITE FALLS
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State | MN
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Zip | 56241-1519
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Country | US
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Telephone | 612-581-2907
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Fax | 320-379-1295
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. BRADLEY KENNETH HANDELAND
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Credential | DC, CKTP
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Telephone | 612-581-2907
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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 | 5052
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License Number State | MN
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