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General NPI Number Information
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NPI Number | 1073317293
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Entity Type | Organization
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Legal Business Name | SUPERIOR CHIROPRACTIC AND WELLNESS LLC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 2806 BELKNAP ST
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City | SUPERIOR
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State | WI
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Zip | 54880-2341
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Country | US
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Telephone | 715-392-4078
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Fax |
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Provider Business Mailing Address
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Address Line | 2806 BELKNAP ST
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City | SUPERIOR
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State | WI
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Zip | 54880-2341
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Country | US
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Telephone | 715-392-4078
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RENEE CHOQUETTE
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Credential | DC
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Telephone | 712-577-0872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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