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General NPI Number Information
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NPI Number | 1992992788
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Entity Type | Organization
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Legal Business Name | HEIGHTS CHIROPRACTIC CLINIC PA
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 4111 CENTRAL AVE NE STE 105
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421
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Country | US
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Telephone | 763-788-0515
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Fax | 763-788-0418
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Provider Business Mailing Address
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Address Line | 4111 CENTRAL AVE NE STE 105
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-2957
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Country | US
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Telephone | 763-788-0515
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Fax | 763-788-0418
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW CARL DRIER
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Credential | DC
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Telephone | 763-788-0515
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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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