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General NPI Number Information
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NPI Number | 1043435613
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Entity Type | Organization
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Legal Business Name | YEOMANS EDINGER CHIROPRACTIC CENTER SC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 404 EUREKA ST
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City | RIPON
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State | WI
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Zip | 54971-1192
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Country | US
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Telephone | 920-748-3644
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Fax |
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Provider Business Mailing Address
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Address Line | 404 EUREKA ST P O BOX 263
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City | RIPON
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State | WI
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Zip | 54971-1192
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Country | US
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Telephone | 920-748-3644
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. STEVEN YEOMANS
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Credential | DC
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Telephone | 920-748-3644
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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 | 1513
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License Number State | WI
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