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General NPI Number Information
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NPI Number | 1376620013
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Entity Type | Organization
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Legal Business Name | MORA CHIROPRACTIC CLINIC P.C.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 114 W MAPLE AVE
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City | MORA
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State | MN
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Zip | 55051
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Country | US
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Telephone | 320-679-1133
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Fax | 320-679-1134
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Provider Business Mailing Address
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Address Line | 114 W MAPLE AVE
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City | MORA
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State | MN
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Zip | 55051
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Country | US
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Telephone | 320-679-1133
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Fax | 320-679-1134
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Authorized Official
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Title or Position | OWNER
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Name | DAVID LEE KLAPEMEIER
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Credential | DOCTOR OF CHIROPRACT
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Telephone | 320-679-1133
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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 | 1355
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License Number State | MN
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