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General NPI Number Information
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NPI Number | 1023236262
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Entity Type | Organization
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Legal Business Name | BAEHR CHIROPRACTIC CENTER SC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 391 W JOHNSON ST
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City | FOND DU LAC
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State | WI
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Zip | 54935-3241
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Country | US
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Telephone | 920-923-3353
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Fax | 920-923-3637
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Provider Business Mailing Address
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Address Line | 391 W JOHNSON ST
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City | FOND DU LAC
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State | WI
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Zip | 54935-3241
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Country | US
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Telephone | 920-923-3353
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Fax | 920-923-3637
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER H BAEHR
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Credential | DC
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Telephone | 920-923-3353
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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 | 1751
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License Number State | WI
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