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General NPI Number Information
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NPI Number | 1154513489
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Entity Type | Organization
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Legal Business Name | LINDEN CHIROPRACTIC CLINIC P.A.
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 1604 1ST ST S
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City | WILLMAR
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State | MN
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Zip | 56201-4243
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Country | US
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Telephone | 320-231-2513
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Fax | 320-231-3135
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Provider Business Mailing Address
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Address Line | 1604 1ST ST S
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City | WILLMAR
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State | MN
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Zip | 56201-4243
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Country | US
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Telephone | 320-231-2513
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Fax | 320-231-3135
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | THOMAS CHARLES LINDEN
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Credential | D.C.
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Telephone | 320-231-2513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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