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General NPI Number Information
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NPI Number | 1649594300
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Entity Type | Individual
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Provider Name | ANN E EGGEBRAATEN D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 868 PRENTICE ST
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City | GRANITE FALLS
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State | MN
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Zip | 56241-1521
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Country | US
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Telephone | 320-564-1209
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Fax | 320-564-1210
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Provider Business Mailing Address
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Address Line | PO BOX 93
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City | GRANITE FALLS
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State | MN
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Zip | 56241-0093
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Country | US
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Telephone | 320-564-1209
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Fax | 320-269-3030
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5403
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License Number State | MN
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