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General NPI Number Information
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NPI Number | 1992988265
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Entity Type | Organization
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Legal Business Name | HJORT FAMILY CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 9125 QUADAY AVE NE STE 102
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City | OTSEGO
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State | MN
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Zip | 55330-6662
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Country | US
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Telephone | 320-266-8674
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Fax |
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Provider Business Mailing Address
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Address Line | 9125 QUADAY AVE NE STE 102
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City | OTSEGO
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State | MN
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Zip | 55330-6662
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Country | US
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Telephone | 320-266-8674
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. LAURA L HJORT
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Credential | DC
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Telephone | 320-266-8674
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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 | 4434
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License Number State | MN
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