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General NPI Number Information
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NPI Number | 1982357489
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Entity Type | Individual
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Provider Name | DANIELLE PRIESTLEY DC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 2571 CLARE LN NE STE 104
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City | ROCHESTER
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State | MN
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Zip | 55906-8416
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Country | US
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Telephone | 507-405-0965
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Fax |
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Provider Business Mailing Address
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Address Line | 84 GRANDE VALLEY AVE SW UNIT 2621
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City | ROCHESTER
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State | MN
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Zip | 55902-3546
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Country | US
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Telephone | 507-254-3268
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Fax |
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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 | 6857
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License Number State | MN
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