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General NPI Number Information
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NPI Number | 1316559552
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Entity Type | Organization
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Legal Business Name | AMIOT SPINE CARE, PLLC
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 1430 HIGHWAY 96 E
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City | WHITE BEAR LAKE
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State | MN
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Zip | 55110-3653
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Country | US
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Telephone | 612-396-3010
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Fax |
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Provider Business Mailing Address
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Address Line | 370 QUAIL RD
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City | DELLWOOD
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State | MN
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Zip | 55110-1422
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Country | US
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Telephone | 612-396-3010
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. URSULA INGRID AMIOT
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Credential | DC
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Telephone | 612-396-3010
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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 |
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License Number State |
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