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General NPI Number Information
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NPI Number | 1306532429
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Entity Type | Organization
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Legal Business Name | NEVSIMAL CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 2150 2ND ST SW UNIT 140
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City | ROCHESTER
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State | MN
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Zip | 55902-4189
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Country | US
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Telephone | 507-251-0704
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Fax |
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Provider Business Mailing Address
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Address Line | 4105 135TH ST
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City | MAZEPPA
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State | MN
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Zip | 55956-4164
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Country | US
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Telephone | 507-251-0704
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA SUE NEVSIMAL
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Credential | DC
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Telephone | 507-251-0704
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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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