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General NPI Number Information
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NPI Number | 1194615138
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Entity Type | Organization
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Legal Business Name | LANA LLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 3300 FERNBROOK LN N
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City | PLYMOUTH
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State | MN
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Zip | 55447-5338
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Country | US
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Telephone | 877-886-4941
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 FERNBROOK LN N
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City | PLYMOUTH
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State | MN
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Zip | 55447-5338
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Country | US
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Telephone | 877-886-4941
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA DENNIS
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Credential |
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Telephone | 651-219-4260
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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 |
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License Number State |
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