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General NPI Number Information
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NPI Number | 1265640544
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Entity Type | Organization
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Legal Business Name | MORRIS CHIROPRACTIC CLINIC, CHARTERED
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 210 ATLANTIC AVE
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City | MORRIS
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State | MN
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Zip | 56267-1321
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Country | US
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Telephone | 320-589-1541
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Fax |
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Provider Business Mailing Address
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Address Line | 210 ATLANTIC AVE
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City | MORRIS
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State | MN
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Zip | 56267-1321
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLEN MONROE
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Credential | D.C.
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Telephone | 320-589-1541
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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 | 2544
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License Number State | MN
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