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General NPI Number Information
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NPI Number | 1467517128
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Entity Type | Organization
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Legal Business Name | EILRICH FAMILY CHIROPRACTIC & WELLNESS
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Dates
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Enumeration Date | 12/23/2006
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 1620 HIGHWAY 60 W SUITE #1
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City | FARIBAULT
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State | MN
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Zip | 55021-4874
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Country | US
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Telephone | 507-384-3800
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Fax | 507-384-3803
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Provider Business Mailing Address
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Address Line | 1620 HIGHWAY 60 W SUITE #1
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City | FARIBAULT
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State | MN
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Zip | 55021-4874
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Country | US
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Telephone | 507-384-3800
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Fax | 507-384-3803
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT JAMES EILRICH
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Credential | D.C.
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Telephone | 507-384-3800
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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 | 4831
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License Number State | MN
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