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General NPI Number Information
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NPI Number | 1205115912
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Entity Type | Organization
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Legal Business Name | PAUL D. DINGMAN PA
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Dates
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Enumeration Date | 08/11/2011
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 3984 CENTRAL AVE NE
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-3931
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Country | US
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Telephone | 763-788-9101
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Fax | 763-789-4980
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Provider Business Mailing Address
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Address Line | 3984 CENTRAL AVE NE
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-3931
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Country | US
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Telephone | 763-788-9101
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Fax | 763-789-4980
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. PAUL D DINGMAN
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Credential | PD
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Telephone | 763-788-9101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 2701
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License Number State | MN
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