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General NPI Number Information
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NPI Number | 1962278986
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Entity Type | Individual
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Provider Name | MICHAELA NEUZIL D.C.
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Gender | Female
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 302 MAIN ST
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City | WEST CONCORD
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State | MN
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Zip | 55985-2068
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Country | US
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Telephone | 507-527-2201
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 256
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City | WEST CONCORD
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State | MN
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Zip | 55985-0256
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Country | US
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Telephone | 507-527-2201
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Fax | 507-527-2202
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7152
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License Number State | MN
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