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NPI 1073123527

NPI 1073123527 : ALIGNED CHIROPRACTIC PLLC : COUNCIL BLUFFS, IA

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General NPI Number Information
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    NPI Number           |    1073123527
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALIGNED CHIROPRACTIC PLLC 
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Dates
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    Enumeration Date     |    08/08/2020
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    Last Update Date     |    10/27/2020
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Provider Practice Location Address
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    Address Line         |    928 VALLEY VIEW DR STE 14 
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    City                 |    COUNCIL BLUFFS
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    State                |    IA
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    Zip                  |    51503-5288
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    Country              |    US
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    Telephone            |    712-828-4801
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    Fax                  |    712-828-4802
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Provider Business Mailing Address
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    Address Line         |    928 VALLEY VIEW DR STE 14 
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    City                 |    COUNCIL BLUFFS
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    State                |    IA
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    Zip                  |    51503-5288
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DOCTOR OF CHIROPRACTIC/OWNER
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    Name                 |    DR. FELICIA FAYE CAMPBELL 
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    Credential           |    DC
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    Telephone            |    712-828-4801
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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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