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General NPI Number Information
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NPI Number | 1215186846
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Entity Type | Organization
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Legal Business Name | PRECISION CHIROPRACTIC PA
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Dates
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Enumeration Date | 09/18/2008
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 2518 SUPERIOR DR NW SUITE 101B
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City | ROCHESTER
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State | MN
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Zip | 55901-1988
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Country | US
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Telephone | 507-287-6041
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Fax | 507-287-6438
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Provider Business Mailing Address
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Address Line | 2518 SUPERIOR DR NW SUITE 101B
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City | ROCHESTER
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State | MN
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Zip | 55901-1988
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Country | US
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Telephone | 507-287-6041
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Fax | 507-287-6438
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Authorized Official
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Title or Position | CEO
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Name | DR. TODD MICHAEL SANDS
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Credential | D.C.
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Telephone | 507-287-6041
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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 | 3017
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License Number State | MN
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