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General NPI Number Information
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NPI Number | 1619164621
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Entity Type | Organization
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Legal Business Name | RINNE CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 07/22/2019
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Provider Practice Location Address
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Address Line | 120 BRIDGE AVE E
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City | DELANO
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State | MN
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Zip | 55328
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Country | US
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Telephone | 763-972-3340
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Fax | 763-972-1370
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Provider Business Mailing Address
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Address Line | PO BOX 511
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City | DELANO
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State | MN
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Zip | 55328-0511
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Country | US
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Telephone | 763-972-3340
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Fax | 763-972-1370
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. SCOTT STEVEN RINNE
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Credential | D.C.
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Telephone | 763-972-3340
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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 | 4653
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License Number State | MN
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