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General NPI Number Information
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NPI Number | 1700266392
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Entity Type | Organization
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Legal Business Name | MCFERSON CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 649 FILLMORE ST NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55413-2523
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Country | US
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Telephone | 612-564-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 649 FILLMORE ST NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55413-2523
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Country | US
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Telephone | 612-564-5511
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Fax |
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Authorized Official
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Title or Position | OWNER/REGISTERED AGENT
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Name | ERIN MARGARET MCFERSON
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Credential | D.C.
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Telephone | 612-564-5511
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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 | 6080
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License Number State | MN
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