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General NPI Number Information
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NPI Number | 1215086384
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Entity Type | Organization
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Legal Business Name | HYVA ELAMA, P.A.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 7447 EGAN DR STE 201
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City | SAVAGE
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State | MN
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Zip | 55378-3303
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Country | US
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Telephone | 612-384-7250
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Fax |
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Provider Business Mailing Address
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Address Line | 7447 EGAN DR STE 201
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City | SAVAGE
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State | MN
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Zip | 55378-3303
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Country | US
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Telephone | 612-384-7250
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Fax | 952-226-7158
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHIRLEY HIMANGA
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Credential | D.C.
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Telephone | 612-384-7250
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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 | 4497
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License Number State | MN
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