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General NPI Number Information
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NPI Number | 1972952356
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Entity Type | Organization
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Legal Business Name | PREFERRED CHIROPRACTIC, INC
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 109 5TH ST NE
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City | LITTLE FALLS
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State | MN
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Zip | 56345-2732
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Country | US
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Telephone | 320-631-1103
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Fax | 320-631-1105
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Provider Business Mailing Address
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Address Line | 109 5TH ST NE
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City | LITTLE FALLS
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State | MN
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Zip | 56345-2732
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Country | US
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Telephone | 320-631-1103
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Fax | 320-631-1105
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Authorized Official
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Title or Position | OWNER/ DC
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Name | ADAM WILFRED OEHRLEIN
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Credential | DC
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Telephone | 320-310-1161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State | MN
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