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General NPI Number Information
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NPI Number | 1982890810
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Entity Type | Organization
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Legal Business Name | OPP FAMILY CHIROPRACTIC P.A.
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 23168 SAINT FRANCIS BLVD NW #600
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City | SAINT FRANCIS
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State | MN
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Zip | 55070-9805
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Country | US
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Telephone | 763-213-0615
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Fax | 763-213-0616
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Provider Business Mailing Address
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Address Line | 23168 SAINT FRANCIS BLVD NW #600
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City | SAINT FRANCIS
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State | MN
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Zip | 55070-9805
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Country | US
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Telephone | 763-213-0615
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Fax | 763-213-0616
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN JEREMY OPP
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Credential | D.C.
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Telephone | 763-213-0615
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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 |
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License Number State |
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