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General NPI Number Information
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NPI Number | 1740406685
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Entity Type | Organization
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Legal Business Name | DIRECTCARE CHIROPRACTIC, PA
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 18157 CARSON CT NW STE C
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City | ELK RIVER
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State | MN
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Zip | 55330-3611
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Country | US
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Telephone | 763-441-0644
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Fax | 763-441-4263
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Provider Business Mailing Address
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Address Line | 18157 CARSON CT NW STE C
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City | ELK RIVER
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State | MN
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Zip | 55330-3611
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Country | US
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Telephone | 763-441-0644
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Fax | 763-441-4263
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Authorized Official
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Title or Position | OWNER
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Name | ADAM CHARLES STUMNE
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Credential |
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Telephone | 763-441-0644
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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 | 4224
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License Number State | MN
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