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General NPI Number Information
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NPI Number | 1861105090
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Entity Type | Individual
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Provider Name | KRISTIE WESTERBECK DC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 2211 RIVERSIDE AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55454-1350
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Country | US
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Telephone | 612-330-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 4516 W 88TH ST
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City | BLOOMINGTON
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State | MN
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Zip | 55437-1402
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Country | US
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Telephone | 651-235-6689
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7044
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License Number State | MN
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