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General NPI Number Information
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NPI Number | 1720167117
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Entity Type | Organization
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Legal Business Name | KNAFLA CHIROPRACTIC CLINIC, LTD
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Dates
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Enumeration Date | 11/04/2006
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 900 S RUM RIVER DR STE 102
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City | PRINCETON
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State | MN
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Zip | 55371-2239
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Country | US
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Telephone | 763-389-5803
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Fax | 763-389-0063
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Provider Business Mailing Address
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Address Line | 900 S RUM RIVER DR STE 102
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City | PRINCETON
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State | MN
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Zip | 55371-2239
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Country | US
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Telephone | 763-389-5803
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Fax | 763-389-0063
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATHRYN MARIE KNAFLA
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Credential | DC, CCSP
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Telephone | 763-389-5803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 3105
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License Number State | MN
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