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General NPI Number Information
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NPI Number | 1952800153
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Entity Type | Organization
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Legal Business Name | WHOLISTIC FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/03/2018
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Last Update Date | 02/03/2018
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Provider Practice Location Address
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Address Line | 2625 HIGHWAY 14 W STE B
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City | ROCHESTER
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State | MN
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Zip | 55901-7597
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Country | US
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Telephone | 507-405-4257
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Fax | 507-405-4257
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Provider Business Mailing Address
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Address Line | 618 15TH ST NW
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City | ROCHESTER
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State | MN
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Zip | 55901-2550
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Country | US
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Telephone | 507-405-4257
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. KADY OLSON
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Credential | DC
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Telephone | 507-405-4257
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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 | 6438
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License Number State | MN
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