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General NPI Number Information
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NPI Number | 1649500984
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Entity Type | Organization
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Legal Business Name | BIG STONE CHIROPRACTIC HEALTH CENTER PC
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Dates
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Enumeration Date | 01/09/2010
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 16 2ND ST NW
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City | ORTONVILLE
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State | MN
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Zip | 56278-1407
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Country | US
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Telephone | 320-487-1010
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Fax | 320-487-1011
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Provider Business Mailing Address
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Address Line | 16 2ND ST NW
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City | ORTONVILLE
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State | MN
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Zip | 56278-1407
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Country | US
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Telephone | 320-487-1010
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Fax | 320-487-1011
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. CHANCE MICHAEL HAUGEN
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Credential | D.C.
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Telephone | 320-808-0452
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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 | 5291
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License Number State | MN
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