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General NPI Number Information
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NPI Number | 1295650463
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Entity Type | Organization
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Legal Business Name | LIFE EXPRESSIONS PLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 1655 N GRANDVIEW LN STE 204
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City | BISMARCK
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State | ND
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Zip | 58503-0877
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Country | US
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Telephone | 701-223-8413
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Fax | 701-425-0148
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Provider Business Mailing Address
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Address Line | 1655 N GRANDVIEW LN STE 204
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City | BISMARCK
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State | ND
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Zip | 58503-0877
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Country | US
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Telephone | 701-223-8413
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Fax | 701-425-0148
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Authorized Official
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Title or Position | AO, PROVIDER, CEO
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Name | DR. MANDY JO DIETZ
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Credential | DC
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Telephone | 701-223-8413
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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 |
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License Number State |
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