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General NPI Number Information
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NPI Number | 1285831040
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Entity Type | Organization
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Legal Business Name | JANZEN CHIROPRACTIC PA
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 4731 E SUPERIOR ST
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City | DULUTH
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State | MN
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Zip | 55804
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Country | US
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Telephone | 218-525-6060
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Fax | 218-525-6060
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Provider Business Mailing Address
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Address Line | 4731 E SUPERIOR ST
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City | DULUTH
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State | MN
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Zip | 55804
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Country | US
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Telephone | 218-525-6060
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Fax | 218-525-6060
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Authorized Official
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Title or Position | OWNER DC
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Name | DR. MELISSA JANE JANZEN
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Credential | DC
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Telephone | 218-525-6060
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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 | 4216
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License Number State | MN
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