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General NPI Number Information
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NPI Number | 1679177125
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Entity Type | Organization
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Legal Business Name | SILVER BELL CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/25/2020
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 2020 SILVER BELL RD STE 9
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City | EAGAN
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State | MN
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Zip | 55122-5233
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Country | US
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Telephone | 651-452-7018
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Fax | 651-686-6130
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Provider Business Mailing Address
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Address Line | 2020 SILVER BELL RD STE 9
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City | EAGAN
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State | MN
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Zip | 55122-5233
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Country | US
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Telephone | 651-452-7018
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Fax | 651-686-6130
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT D LUKIN
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Credential | DC
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Telephone | 651-452-7018
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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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