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General NPI Number Information
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NPI Number | 1598530891
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Entity Type | Organization
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Legal Business Name | SUNDIAL CHIROPRACTIC P.L.L.C.
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 5757 SANIBEL DR STE 11
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City | MINNETONKA
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State | MN
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Zip | 55343-4110
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Country | US
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Telephone | 952-939-0297
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Fax |
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Provider Business Mailing Address
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Address Line | 18068 EVENER WAY
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City | EDEN PRAIRIE
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State | MN
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Zip | 55346-4270
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Country | US
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Telephone | 952-270-8161
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Fax |
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Authorized Official
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Title or Position | CHIEF MANAGER
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Name | DR. JASON JORGENSEN
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Credential | DC
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Telephone | 952-270-8161
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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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