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General NPI Number Information
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NPI Number | 1033427828
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Entity Type | Organization
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Legal Business Name | BRIAN F. GUENTHER DC PC
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 1512 S 60TH ST
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City | OMAHA
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State | NE
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Zip | 68106-2163
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Country | US
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Telephone | 402-551-0410
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Fax | 402-505-8003
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Provider Business Mailing Address
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Address Line | 1512 S 60TH ST
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City | OMAHA
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State | NE
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Zip | 68106-2163
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Country | US
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Telephone | 402-551-0410
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Fax | 402-505-8003
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN F GUENTHER
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Credential | DC
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Telephone | 402-551-0410
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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 | 1253
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License Number State | NE
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