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General NPI Number Information
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NPI Number | 1760603609
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Entity Type | Organization
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Legal Business Name | MCINTEE CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 114 3RD ST N
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City | CANNON FALLS
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State | MN
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Zip | 55009-2011
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Country | US
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Telephone | 507-263-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 114 3RD ST N
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City | CANNON FALLS
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State | MN
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Zip | 55009-2011
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Country | US
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Telephone | 507-263-2929
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC DOCTOR
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Name | DR. PATRICK J MCINTEE
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Credential | DC
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Telephone | 507-263-2929
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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 | 3061
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License Number State | MN
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