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General NPI Number Information
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NPI Number | 1487796397
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Entity Type | Organization
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Legal Business Name | NADIG CHIROPRACTIC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2780 SNELLING AVE N SUITE 301
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City | ROSEVILLE
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State | MN
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Zip | 55113-7115
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Country | US
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Telephone | 651-633-9667
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Fax | 651-633-4203
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Provider Business Mailing Address
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Address Line | 2780 SNELLING AVE N SUITE 301
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City | ROSEVILLE
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State | MN
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Zip | 55113-7115
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Country | US
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Telephone | 651-633-9667
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Fax | 651-633-4203
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Authorized Official
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Title or Position | OWNER
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Name | DR. BENEDIKT ANTON NADIG
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Credential | D.C.
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Telephone | 651-633-9667
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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 | 1598
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License Number State | MN
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