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General NPI Number Information
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NPI Number | 1801167804
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Entity Type | Organization
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Legal Business Name | LOPEZ HEALTH CENTER, LLC
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 7200 HEMLOCK LN N STE 101
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City | MAPLE GROVE
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State | MN
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Zip | 55369-5587
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Country | US
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Telephone | 763-521-8869
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Fax | 763-521-8860
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Provider Business Mailing Address
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Address Line | 7200 HEMLOCK LN N STE 101
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City | MAPLE GROVE
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State | MN
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Zip | 55369-5587
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Country | US
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Telephone | 763-521-8869
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Fax | 763-521-8860
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | FRANKLIN GEOVANI LOPEZ
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Credential | DC
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Telephone | 763-521-8869
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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 | 5004
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License Number State | MN
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