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General NPI Number Information
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NPI Number | 1649113804
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Entity Type | Organization
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Legal Business Name | SPORTS PERFORMANCE CHIROPRACTIC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 350 HIGHWAY 7 STE 200
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City | EXCELSIOR
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State | MN
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Zip | 55331-3156
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Country | US
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Telephone | 952-529-3905
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Fax |
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Provider Business Mailing Address
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Address Line | 350 HIGHWAY 7 STE 200
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City | EXCELSIOR
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State | MN
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Zip | 55331-3156
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Country | US
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Telephone | 952-529-3905
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ CHIROPRACTOR
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Name | DR. TRAVIS CONLEY
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Credential | DC
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Telephone | 949-899-3220
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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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