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General NPI Number Information
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NPI Number | 1346624947
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Entity Type | Organization
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Legal Business Name | HENNEN CHIROPRACTIC P.L.L.C.
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 317 W MAIN ST
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City | MARSHALL
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State | MN
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Zip | 56258-3790
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Country | US
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Telephone | 507-337-2423
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Fax | 507-337-2421
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Provider Business Mailing Address
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Address Line | 1411 E COLLEGE DR STE 105
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City | MARSHALL
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State | MN
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Zip | 56258-2086
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Country | US
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Telephone |
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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 | ROBERT PAUL HENNEN
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Credential |
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Telephone | 507-337-2423
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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 | 6101
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License Number State | MN
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