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General NPI Number Information
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NPI Number | 1396996815
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Entity Type | Individual
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Provider Name | DANA PAUSCH D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 1665 43RD ST S UNIT 102
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City | FARGO
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State | ND
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Zip | 58103-3316
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Country | US
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Telephone | 701-356-3990
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Fax | 701-297-4828
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Provider Business Mailing Address
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Address Line | 1665 43RD ST S UNIT 102
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City | FARGO
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State | ND
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Zip | 58103-3316
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Country | US
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Telephone | 701-356-3990
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Fax | 701-297-4828
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 824
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License Number State | ND
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