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General NPI Number Information
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NPI Number | 1962670026
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Entity Type | Organization
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Legal Business Name | HELMINGER CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 9479 GARLAND LANE NORTH
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City | MAPLE GROVE
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State | MN
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Zip | 55311
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Country | US
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Telephone | 763-494-8787
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Fax | 763-494-8841
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Provider Business Mailing Address
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Address Line | 9479 GARLAND LANE NORTH
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City | MAPLE GROVE
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State | MN
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Zip | 55311
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Country | US
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Telephone | 763-494-8787
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Fax | 763-494-8841
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Authorized Official
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Title or Position | OWNER
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Name | DR. CONNIE JEAN THEISEN
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Credential | DC
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Telephone | 763-494-8787
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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 | 4091
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License Number State | MN
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