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General NPI Number Information
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NPI Number | 1184820193
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Entity Type | Organization
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Legal Business Name | AMERICARE CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13911 RIDGEDALE DR SUITE 255
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City | MINNETONKA
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State | MN
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Zip | 55305-1771
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Country | US
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Telephone | 952-545-3839
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Fax | 952-546-0168
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Provider Business Mailing Address
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Address Line | 13911 RIDGEDALE DR SUITE 255
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City | MINNETONKA
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State | MN
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Zip | 55305-1771
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Country | US
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Telephone | 952-545-3839
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Fax | 952-546-0168
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MELINDA LILLIAN MORGAN
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Credential | D.C
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Telephone | 952-545-3839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 4554
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License Number State | MN
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