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General NPI Number Information
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NPI Number | 1487401212
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Entity Type | Individual
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Provider Name | DR. DANIEL MATHEW PIETRUSZEWSKI
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Gender | Male
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Dates
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Enumeration Date | 04/30/2024
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 7781 AMANA TRL
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-2617
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Country | US
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Telephone | 651-280-8685
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Fax |
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Provider Business Mailing Address
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Address Line | 7781 AMANA TRL # 300
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-2617
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Country | US
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Telephone | 651-237-3799
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Fax |
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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 | 7224
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License Number State | MN
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