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General NPI Number Information
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NPI Number | 1689614687
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Entity Type | Individual
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Provider Name | CASEY JAMES HALLIN D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 14321 NICOLLET CT
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City | BURNSVILLE
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State | MN
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Zip | 55306-4560
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Country | US
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Telephone | 952-435-8879
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Fax | 952-892-3938
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Provider Business Mailing Address
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Address Line | 3706 CONROY TRL
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55076-3109
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Country | US
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Telephone | 651-306-1535
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Fax |
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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 | 4735
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License Number State | MN
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