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General NPI Number Information
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NPI Number | 1023205036
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Entity Type | Organization
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Legal Business Name | ALLGOOD FAMILY CHIROPRACTIC, PC
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 906 13TH ST
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City | AUBURN
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State | NE
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Zip | 68305-1908
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Country | US
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Telephone | 402-274-5001
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Fax | 402-274-5019
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Provider Business Mailing Address
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Address Line | 906 13TH ST
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City | AUBURN
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State | NE
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Zip | 68305-1908
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Country | US
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Telephone | 402-274-5001
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Fax | 402-274-5019
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Authorized Official
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Title or Position | CHIROPRACTIC DOCTOR
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Name | DR. TRAVIS GENE ALLGOOD
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Credential | D.C.
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Telephone | 402-274-5001
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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 | 1366
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License Number State | NE
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