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NPI 1376118794

NPI 1376118794 : WINKLER FAMILY CHIROPRACTIC, LLC : BEULAH, ND

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General NPI Number Information
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    NPI Number           |    1376118794
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    Entity Type          |    Organization 
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    Legal Business Name  |    WINKLER FAMILY CHIROPRACTIC, LLC 
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Dates
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    Enumeration Date     |    05/26/2021
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    Last Update Date     |    05/26/2021
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Provider Practice Location Address
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    Address Line         |    119 E MAIN ST 
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    City                 |    BEULAH
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    State                |    ND
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    Zip                  |    58523-6637
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    Country              |    US
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    Telephone            |    701-873-9955
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    Fax                  |    701-873-9956
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1207 
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    City                 |    BEULAH
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    State                |    ND
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    Zip                  |    58523-1207
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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    |    DOCTOR/OWNER
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    Name                 |    DR. KYLE  WINKLER 
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    Credential           |    DC
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    Telephone            |    701-880-1460
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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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