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General NPI Number Information
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NPI Number | 1952474314
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Entity Type | Organization
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Legal Business Name | RUM RIVER CHIROPRACTIC LTD
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14037 SAINT FRANCIS BLVD
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City | RAMSEY
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State | MN
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Zip | 55303-4692
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Country | US
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Telephone | 763-422-1525
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Fax |
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Provider Business Mailing Address
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Address Line | 14037 SAINT FRANCIS BLVD
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City | RAMSEY
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State | MN
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Zip | 55303-4692
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Country | US
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Telephone | 763-422-1525
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. DEANNA FAY BIGLER
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Credential | DC
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Telephone | 763-422-1525
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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 | 02311
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License Number State | MN
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