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General NPI Number Information
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NPI Number | 1811169832
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Entity Type | Organization
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Legal Business Name | MANUEL CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 2321 7TH AVE
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City | ANOKA
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State | MN
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Zip | 55303-1790
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Country | US
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Telephone | 517-256-1824
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Fax | 517-487-4474
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Provider Business Mailing Address
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Address Line | 2321 7TH AVE
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City | ANOKA
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State | MN
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Zip | 55303-1790
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Country | US
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Telephone | 517-256-1824
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Fax | 517-487-4474
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN FREDERICH MANUEL
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Credential | DC
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Telephone | 517-256-1824
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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 | 4289
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License Number State | MN
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