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General NPI Number Information
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NPI Number | 1952120800
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Entity Type | Organization
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Legal Business Name | RESONANCE CHIROPRACTIC AND HOISTIC HEALTH PLLC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 215 E 78TH ST SUITE 300
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City | BLOOMINGTON
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State | MN
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Zip | 55420
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Country | US
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Telephone | 763-614-0953
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Fax |
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Provider Business Mailing Address
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Address Line | 6675 LOWER 169TH ST W
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City | FARMINGTON
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State | MN
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Zip | 55024-9108
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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 | NATHAN KALSTAD
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Credential | DC
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Telephone | 612-360-7664
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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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