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General NPI Number Information
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NPI Number | 1700625217
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Entity Type | Organization
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Legal Business Name | WEST CONCORD CHIROPRACTIC & WELLNESS, PLLC
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 302 W MAIN ST
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City | WEST CONCORD
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State | MN
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Zip | 55985-2068
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Country | US
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Telephone | 507-527-2201
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Fax | 507-527-2202
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Provider Business Mailing Address
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Address Line | PO BOX 256
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City | WEST CONCORD
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State | MN
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Zip | 55985-0256
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Country | US
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Telephone | 507-527-2001
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Fax | 507-527-2202
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | MICHAELA NEUZIL
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Credential |
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Telephone | 507-450-0799
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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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