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General NPI Number Information
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NPI Number | 1578296208
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Entity Type | Organization
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Legal Business Name | DAUNTLESS HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 07/09/2022
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Last Update Date | 07/09/2022
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Provider Practice Location Address
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Address Line | 8577 COLUMBINE RD
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-9001
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Country | US
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Telephone | 507-318-0979
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Fax |
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Provider Business Mailing Address
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Address Line | 5250 W 74TH ST STE 8
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City | EDINA
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State | MN
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Zip | 55439-2229
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Country | US
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Telephone | 952-831-0242
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN CLARE
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Credential | DC
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Telephone | 507-318-0979
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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 |
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License Number State |
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