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General NPI Number Information
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NPI Number | 1982906681
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Entity Type | Individual
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Provider Name | ANTHONY MARK FELTEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 4315 CLEMSON CIR
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City | EAGAN
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State | MN
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Zip | 55122-4818
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Country | US
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Telephone | 507-429-6480
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Fax |
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Provider Business Mailing Address
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Address Line | 15322 GALAXIE AVE STE 110
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City | APPLE VALLEY
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State | MN
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Zip | 55124-3149
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Country | US
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Telephone |
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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 | 5438
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License Number State | MN
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