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General NPI Number Information
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NPI Number | 1467662759
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Entity Type | Organization
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Legal Business Name | VECHELL-MICHAELS CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 115 W HOWARD ST
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City | HIBBING
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State | MN
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Zip | 55746-1548
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Country | US
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Telephone | 218-262-3315
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Fax | 218-263-9648
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Provider Business Mailing Address
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Address Line | 115 W HOWARD ST
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City | HIBBING
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State | MN
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Zip | 55746-1548
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Country | US
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Telephone | 218-262-3315
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Fax | 218-263-9648
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN RYAN MICHAELS
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Credential | DC
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Telephone | 218-262-3315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 1812
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License Number State | MN
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