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General NPI Number Information
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NPI Number | 1558745778
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Entity Type | Organization
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Legal Business Name | RESTORATIVE HEALTH SOLUTIONS PA
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 7701 YORK AVE S SUITE 155
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City | EDINA
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State | MN
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Zip | 55435-5238
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Country | US
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Telephone | 763-913-0923
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Fax |
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Provider Business Mailing Address
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Address Line | 7701 YORK AVE S SUITE 155
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City | EDINA
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State | MN
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Zip | 55435-5238
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL DEGLMANN
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Credential | DC
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Telephone | 763-913-0923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 4646
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 5495
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License Number State | MN
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Taxonomy #3
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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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