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Organization
APPLE VALLEY CHIROPRACTIC & REHAB
Active
Organization
APPLE VALLEY CHIROPRACTIC & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN JAMES TAFFE DC (OWNER)
(952) 431-3003
Entity
Organization
Contact information
Practice address
14501 GRANADA DR, STE. 101, APPLE VALLEY, MN 55124-6315
(952) 431-3003
(952) 431-3016
Mailing address
14501 GRANADA DR, STE. 101, APPLE VALLEY, MN 55124-6315
(952) 431-3003
(952) 431-3016
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4900
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21913000
—
MN
01
—
350004471
MEDICARE PTAN
MN
Enumeration date
03/17/2014
Last updated
03/17/2014
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