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General NPI Number Information
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NPI Number | 1578873642
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Entity Type | Organization
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Legal Business Name | PREFERRED CHIROPRACTIC ASSOCIATES INC
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 3570 LEXINGTON AVE N #208
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City | SHOREVIEW
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State | MN
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Zip | 55126-8049
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Country | US
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Telephone | 651-481-1488
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Fax | 651-481-8051
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Provider Business Mailing Address
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Address Line | 3570 LEXINGTON AVE N #208
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City | SHOREVIEW
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State | MN
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Zip | 55126
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Country | US
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Telephone | 651-481-1488
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Fax | 651-481-8051
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHLEEN BONSELL
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Credential |
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Telephone | 651-481-1488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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