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General NPI Number Information
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NPI Number | 1538812938
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Entity Type | Individual
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Provider Name | NATHAN KING DC
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Gender | Male
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 125 WOODLAND RD STE 153
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City | DELANO
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State | MN
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Zip | 55328-4706
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Country | US
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Telephone | 612-354-6690
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Fax |
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Provider Business Mailing Address
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Address Line | 806 2ND AVE S
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City | BUFFALO
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State | MN
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Zip | 55313-1209
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Country | US
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Telephone | 612-354-6690
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 7206
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License Number State | MN
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