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General NPI Number Information
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NPI Number | 1992510986
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Entity Type | Organization
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Legal Business Name | VITAL MOTION CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/08/2025
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Last Update Date | 03/23/2025
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Provider Practice Location Address
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Address Line | 14300 BUCK HILL RD STE E
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City | BURNSVILLE
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State | MN
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Zip | 55306-6245
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Country | US
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Telephone | 763-913-6618
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Fax |
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Provider Business Mailing Address
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Address Line | 14300 BUCK HILL RD STE E
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City | BURNSVILLE
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State | MN
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Zip | 55306-6245
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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 | OWNER
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Name | ERIC MICHAEL VOLKMEIER
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Credential | DC
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Telephone | 763-913-6616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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