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General NPI Number Information
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NPI Number | 1740334929
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Entity Type | Organization
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Legal Business Name | BITTNER CHIROPRACTIC INC.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1251 E BRIDGE ST
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City | REDWOOD FALLS
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State | MN
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Zip | 56283-1901
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Country | US
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Telephone | 507-637-3005
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Fax | 507-627-3007
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Provider Business Mailing Address
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Address Line | 1251 E BRIDGE ST P.O. BOX 314
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City | REDWOOD FALLS
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State | MN
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Zip | 56283-1901
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Country | US
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Telephone | 507-637-3005
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Fax | 507-627-3007
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Authorized Official
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Title or Position | CEO
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Name | JEFFREY FRANK BITTNER
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Credential | D.C.
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Telephone | 507-637-3005
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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 | 1612
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License Number State | MN
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