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General NPI Number Information
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NPI Number | 1285240630
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Entity Type | Organization
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Legal Business Name | TRUE NORTH CHIROPRACTIC & SPORTS MEDICINE
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Dates
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Enumeration Date | 09/21/2020
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 14050 FAIRVIEW DR
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City | BURNSVILLE
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State | MN
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Zip | 55337-5713
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Country | US
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Telephone | 612-499-8548
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Fax | 612-466-5782
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Provider Business Mailing Address
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Address Line | 18668 DULANEY DR
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City | FARMINGTON
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State | MN
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Zip | 55024-7089
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Country | US
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Telephone | 612-499-8548
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Fax | 612-466-5782
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWARD MICHAEL SZKLARCZUK
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Credential | DC
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Telephone | 612-499-8548
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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 |
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License Number State |
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