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General NPI Number Information
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NPI Number | 1265259451
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Entity Type | Organization
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Legal Business Name | ELEVATE CHIROPRACTIC AND WELLNESS
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Dates
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Enumeration Date | 09/20/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 2768 SUPERIOR DR NW STE D
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City | ROCHESTER
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State | MN
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Zip | 55901-3063
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Country | US
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Telephone | 507-900-5516
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Fax |
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Provider Business Mailing Address
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Address Line | 1285 1ST CT NE
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City | BYRON
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State | MN
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Zip | 55920-1655
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Country | US
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Telephone | 507-261-6612
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAURA ASHLEY ZETT
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Credential | DC
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Telephone | 507-261-6612
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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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