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General NPI Number Information
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NPI Number | 1750443255
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Entity Type | Organization
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Legal Business Name | WARNER CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 2726 JOHNSON ST NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-3042
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Country | US
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Telephone | 612-789-1010
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Fax | 612-789-9205
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Provider Business Mailing Address
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Address Line | 2726 JOHNSON ST NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-3042
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Country | US
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Telephone | 612-789-1010
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Fax | 612-789-9205
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEANNE CORINNE WARNER
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Credential | D.C.
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Telephone | 612-789-1010
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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 | 2516
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License Number State | MN
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