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General NPI Number Information
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NPI Number | 1831425685
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Entity Type | Organization
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Legal Business Name | DALLMAN CHIROPRACTIC PC
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Dates
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Enumeration Date | 10/29/2009
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 1395 S COLUMBIA RD SUITE B
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City | GRAND FORKS
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State | ND
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Zip | 58201-4054
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Country | US
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Telephone | 701-775-3215
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Fax |
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Provider Business Mailing Address
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Address Line | 1395 S COLUMBIA RD SUITE B
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City | GRAND FORKS
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State | ND
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Zip | 58201-4054
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN DALLMAN
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Credential |
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Telephone | 701-775-3215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 575
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License Number State | ND
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