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General NPI Number Information
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NPI Number | 1700082351
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Entity Type | Organization
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Legal Business Name | HEALING HANDS FAMILY CHIROPRACTIC, PSC
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 9125 QUADAY AVE NE STE 102
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City | OTSEGO
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State | MN
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Zip | 55330-6662
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Country | US
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Telephone | 763-274-0373
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Fax | 763-274-0375
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Provider Business Mailing Address
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Address Line | 9125 QUADAY AVE NE STE 102
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City | OTSEGO
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State | MN
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Zip | 55330-6662
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Country | US
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Telephone | 763-274-0373
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Fax | 763-274-0375
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER L ESSELMAN
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Credential | D.C.
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Telephone | 763-274-0373
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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 | 4280
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License Number State | MN
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