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General NPI Number Information
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NPI Number | 1477098515
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Entity Type | Organization
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Legal Business Name | BALANCED HEALTH CHIROPRACTIC
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Dates
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Enumeration Date | 12/28/2016
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 800 E MAIN ST
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City | MARSHALL
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State | MN
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Zip | 56258-2573
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Country | US
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Telephone | 507-337-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 800 E MAIN ST
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City | MARSHALL
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State | MN
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Zip | 56258-2573
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Country | US
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Telephone | 507-337-2424
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. CASEY PALUCH
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Credential | D.C.
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Telephone | 507-828-8736
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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 | 6297
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License Number State | MN
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