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General NPI Number Information
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NPI Number | 1386812477
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Entity Type | Organization
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Legal Business Name | WATKINS CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 165 CENTRAL AVE N
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City | WATKINS
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State | MN
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Zip | 55389-4505
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Country | US
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Telephone | 320-764-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 165 CENTRAL AVE N P.O. BOX 39
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City | WATKINS
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State | MN
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Zip | 55389-4505
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Country | US
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Telephone | 320-764-3000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN GARY VERBOVANEC
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Credential | DC
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Telephone | 320-764-3000
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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 | 2458
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License Number State | MN
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