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General NPI Number Information
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NPI Number | 1033088489
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Entity Type | Organization
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Legal Business Name | HAVEN CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 2312 5TH AVE
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City | ROCK ISLAND
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State | IL
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Zip | 61201-8923
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Country | US
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Telephone | 563-265-0902
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Fax |
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Provider Business Mailing Address
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Address Line | 2312 5TH AVE
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City | ROCK ISLAND
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State | IL
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Zip | 61201-8923
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Country | US
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Telephone | 563-265-0902
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAUREN ELIZABETH LYBBERT
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Credential | DC
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Telephone | 231-580-7434
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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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