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General NPI Number Information
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NPI Number | 1538873591
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Entity Type | Organization
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Legal Business Name | ALBERT LEA CHIROPRACTIC AND MASSAGE, PLLC
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 01/22/2023
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Provider Practice Location Address
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Address Line | 1340 W MAIN ST
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City | ALBERT LEA
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State | MN
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Zip | 56007-1800
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Country | US
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Telephone | 507-377-3780
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 W MAIN ST
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City | ALBERT LEA
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State | MN
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Zip | 56007-1800
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Country | US
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Telephone | 507-377-3780
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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 | ANN SAHR
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Credential | DC
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Telephone | 507-377-3780
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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 |
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License Number State |
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