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General NPI Number Information
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NPI Number | 1285946186
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE CHIROPRACTIC
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 1214 W LAKE ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-2761
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Country | US
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Telephone | 612-284-5355
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Fax | 612-677-3483
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Provider Business Mailing Address
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Address Line | 1214 W LAKE ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-2761
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Country | US
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Telephone | 612-284-5355
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Fax | 612-677-3483
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | DR. KRISTI ZIMMERMAN
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Credential | D.C.
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Telephone | 612-284-5355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | MN
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