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General NPI Number Information
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NPI Number | 1427275130
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Entity Type | Organization
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Legal Business Name | BELDE FAMILY CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 26144 3RD ST E
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City | ZIMMERMAN
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State | MN
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Zip | 55398-9305
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Country | US
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Telephone | 763-856-8500
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Fax | 763-856-8502
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Provider Business Mailing Address
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Address Line | PO BOX 377 26144 3RD ST E
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City | ZIMMERMAN
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State | MN
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Zip | 55398-0377
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Country | US
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Telephone | 763-856-8500
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Fax | 763-856-8502
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DANIEL WILLIAM BELDE
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Credential | D.C.
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Telephone | 763-856-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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