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General NPI Number Information
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NPI Number | 1245470343
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Entity Type | Organization
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Legal Business Name | PLAINS CHIROPRACTIC & ACUPUNCTURE PC
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 3750 32ND AVE S SUITE #103
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City | GRAND FORKS
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State | ND
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Zip | 58201-5998
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Country | US
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Telephone | 701-361-8482
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Fax |
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Provider Business Mailing Address
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Address Line | 3750 32ND AVE S SUITE #103
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City | GRAND FORKS
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State | ND
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Zip | 58201-5998
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Country | US
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Telephone | 701-361-8482
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. NATALIE NEWMAN MUTH
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Credential | DC
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Telephone | 701-361-8482
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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 | 827
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License Number State | ND
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