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General NPI Number Information
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NPI Number | 1558495192
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Entity Type | Individual
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Provider Name | JANELL LYNN HOERNEMANN DC
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 205 DIVISION STREET NOBLE CHIROPRACTIC CLINIC PA
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City | NORTHFIELD
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State | MN
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Zip | 55057-2014
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Country | US
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Telephone | 507-645-8242
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Fax | 804-645-8242
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Provider Business Mailing Address
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Address Line | 727 DELAWARE ST SW
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City | LONSDALE
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State | MN
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Zip | 55046-8506
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Country | US
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Telephone | 507-744-4646
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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 | 4039
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License Number State | MN
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