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General NPI Number Information
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NPI Number | 1275685257
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Entity Type | Organization
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Legal Business Name | ADVANCEMENTS IN CHIROPRACTIC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2020 SILVER BELL RD SUITE #2
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City | EAGAN
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State | MN
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Zip | 55122-1050
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Country | US
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Telephone | 651-233-3738
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Fax | 651-452-5910
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Provider Business Mailing Address
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Address Line | 11689 MILLPOND AVE
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City | BURNSVILLE
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State | MN
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Zip | 55337-7251
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Country | US
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Telephone | 651-233-3738
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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. LUKE MATTHEW JAKUBOWSKI
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Credential | D.C.
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Telephone | 651-233-3738
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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 | 4802
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License Number State | MN
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