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General NPI Number Information
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NPI Number | 1811694631
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Entity Type | Organization
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Legal Business Name | WAGNER HEALTH LLC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 2700 ANNAPOLIS CIR N STE D
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City | PLYMOUTH
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State | MN
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Zip | 55441-2504
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Country | US
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Telephone | 612-354-2509
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Fax | 612-872-9667
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Provider Business Mailing Address
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Address Line | 2700 ANNAPOLIS CIR N STE D
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City | PLYMOUTH
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State | MN
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Zip | 55441-2504
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Country | US
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Telephone | 612-208-2032
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Fax | 612-567-4382
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. DARIN JOHN WAGNER
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Credential | DC
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Telephone | 507-261-2997
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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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