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General NPI Number Information
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NPI Number | 1295913051
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Entity Type | Organization
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Legal Business Name | TRUHEALTH FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 5300 S ROBERT TRL 700
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-1444
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Country | US
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Telephone | 651-457-2121
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Fax | 651-457-5355
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Provider Business Mailing Address
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Address Line | 5300 S ROBERT TRL 700
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-1444
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Country | US
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Telephone | 651-457-2121
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Fax | 651-457-5355
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TRAVIS JAMES MYERS
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Credential | D.C.
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Telephone | 651-457-2121
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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 | 5064
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License Number State | MN
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