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General NPI Number Information
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NPI Number | 1033355201
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Entity Type | Organization
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Legal Business Name | BENJAMIN W. ERLANDSON D.C., S.C.
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 1613 MAIN ST STE 4
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City | ONALASKA
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State | WI
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Zip | 54650-2888
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Country | US
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Telephone | 608-783-5768
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Fax | 608-783-1506
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Provider Business Mailing Address
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Address Line | 1613 MAIN ST STE 4
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City | ONALASKA
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State | WI
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Zip | 54650-2888
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Country | US
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Telephone | 608-783-5768
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Fax | 608-783-1506
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Authorized Official
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Title or Position | CEO
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Name | DR. BENJAMIN W ERLANDSON
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Credential | D.C.
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Telephone | 608-783-5768
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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 | 4459012
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License Number State | WI
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