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General NPI Number Information
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NPI Number | 1326296179
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Entity Type | Organization
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Legal Business Name | DR ADAM FINK FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 1060 HIGHWAY 15 S HUTCHINSON MALL
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City | HUTCHINSON
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State | MN
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Zip | 55350-3157
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Country | US
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Telephone | 320-234-3584
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Fax |
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Provider Business Mailing Address
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Address Line | 110 E 1ST NORTH ST
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City | CARLINVILLE
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State | IL
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Zip | 62626-1505
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Country | US
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Telephone | 217-854-3300
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DAMON P WALTON
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Credential |
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Telephone | 217-854-3300
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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 | 5095
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License Number State | MN
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