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General NPI Number Information
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NPI Number | 1659263754
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Entity Type | Organization
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Legal Business Name | GUDIE ENTERPRISES PLLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 3930 W 6TH ST
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City | WINONA
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State | MN
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Zip | 55987-1530
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Country | US
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Telephone | 507-452-4490
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Fax | 507-452-4803
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Provider Business Mailing Address
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Address Line | 3930 W 6TH ST
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City | WINONA
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State | MN
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Zip | 55987-1530
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Country | US
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Telephone | 507-452-4490
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Fax | 507-452-4803
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Authorized Official
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Title or Position | OWNER- CHIROPRACTOR
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Name | ANDREW GUDENSCHWAGER
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Credential | D.C.
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Telephone | 507-452-4490
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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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