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General NPI Number Information
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NPI Number | 1194095331
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Entity Type | Organization
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Legal Business Name | R&R CHIROPRACTIC PC
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 4903 PUMICE LOOP
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City | BISMARCK
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State | ND
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Zip | 58503
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Country | US
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Telephone | 701-720-8903
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Fax |
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Provider Business Mailing Address
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Address Line | 4903 PUMICE LOOP
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City | BISMARCK
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State | ND
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Zip | 58503-6158
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Country | US
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Telephone | 701-720-8903
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL ERNEST ANDERSON
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Credential | DC
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Telephone | 701-720-8903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 849
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License Number State | ND
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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 | 849
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License Number State | ND
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