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General NPI Number Information
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NPI Number | 1043385677
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Entity Type | Organization
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Legal Business Name | RICKERT CHIROPRACTIC & ACUPUNCTURE PC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 1371 29TH AVE STE 1
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City | COLUMBUS
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State | NE
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Zip | 68601-4926
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Country | US
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Telephone | 402-564-2622
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Fax | 402-563-3717
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Provider Business Mailing Address
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Address Line | 1371 29TH AVE STE 1
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City | COLUMBUS
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State | NE
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Zip | 68601-4926
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Country | US
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Telephone | 402-564-2622
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Fax | 402-563-3717
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AARON A RICKERT
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Credential | D.C.
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Telephone | 402-564-2622
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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 | 489
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1163
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License Number State | NE
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