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General NPI Number Information
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NPI Number | 1942327549
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Entity Type | Organization
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Legal Business Name | BIERMAIER CHIROPRACTIC CLINIC P.A.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 1226 UNIVERSITY AVE
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City | CROOKSTON
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State | MN
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Zip | 56716
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Country | US
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Telephone | 218-281-6311
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Fax | 218-281-6312
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Provider Business Mailing Address
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Address Line | PO BOX 496
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City | CROOKSTON
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State | MN
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Zip | 56716
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Country | US
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Telephone | 218-281-6311
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Fax | 218-281-6312
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN JEROME BIERMAIER
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Credential | DC
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Telephone | 218-281-6311
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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 | 2365
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License Number State | MN
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