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General NPI Number Information
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NPI Number | 1760652036
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Entity Type | Individual
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Provider Name | JOHN KENNETH VALENTINI D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 4455 HIGHWAY 169 N STE 200
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City | PLYMOUTH
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State | MN
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Zip | 55442-2897
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Country | US
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Telephone | 763-557-9032
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Fax | 763-557-9838
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Provider Business Mailing Address
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Address Line | 4900 HIGHWAY 169 N STE 250
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City | NEW HOPE
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State | MN
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Zip | 55428-4019
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Country | US
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Telephone | 763-432-0116
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Fax | 763-951-2263
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2548
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License Number State | MN
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