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General NPI Number Information
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NPI Number | 1194814236
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Entity Type | Organization
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Legal Business Name | ANDREWS FAMILY CHIROPRACTIC CLINIC PA
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 03/27/2009
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Provider Practice Location Address
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Address Line | 285 SAINT ANDREWS DR SUITE 300
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City | MANKATO
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State | MN
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Zip | 56001-8670
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Country | US
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Telephone | 507-345-1926
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Fax |
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Provider Business Mailing Address
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Address Line | 285 SAINT ANDREWS DR SUITE 300
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City | MANKATO
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State | MN
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Zip | 56001-8670
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Country | US
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Telephone | 507-345-1926
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TAWNDA ANDREWS
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Credential |
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Telephone | 507-345-1926
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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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