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General NPI Number Information
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NPI Number | 1801309000
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Entity Type | Organization
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Legal Business Name | PARAGON CHIROPRACTIC AND WELLNESS CENTER
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Dates
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Enumeration Date | 11/09/2017
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 2860 10TH AVE N STE 200
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City | GRAND FORKS
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State | ND
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Zip | 58203-2275
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Country | US
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Telephone | 701-757-1145
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Fax |
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Provider Business Mailing Address
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Address Line | 2860 10TH AVE N STE 200
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City | GRAND FORKS
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State | ND
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Zip | 58203-2275
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Country | US
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Telephone | 701-757-1145
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAYNE GRIFFITH
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Credential | D.C.
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Telephone | 701-757-1145
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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 |
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License Number State |
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