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General NPI Number Information
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NPI Number | 1700406345
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Entity Type | Organization
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Legal Business Name | DISCOVERY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 2785 WHITE BEAR AVE N STE 107
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City | MAPLEWOOD
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State | MN
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Zip | 55109-1320
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Country | US
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Telephone | 651-398-0243
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Fax | 651-560-3911
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Provider Business Mailing Address
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Address Line | 2454 RIPLEY AVE
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City | NORTH SAINT PAUL
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State | MN
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Zip | 55109-4905
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Country | US
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Telephone | 651-398-0243
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Fax | 651-560-3911
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Authorized Official
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Title or Position | OWNER
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Name | CARRON LYNN PERRY
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Credential | DC
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Telephone | 651-398-0243
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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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