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General NPI Number Information
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NPI Number | 1073776654
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Entity Type | Organization
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Legal Business Name | NALBONE FAMILY CHIROPRACTIC AND WELLNESS, LLC
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 7227 POTOMAC DRIVE
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City | BOISE
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State | ID
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Zip | 83704-9150
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Country | US
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Telephone | 208-908-6111
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Fax | 208-908-6112
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Provider Business Mailing Address
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Address Line | 7227 POTOMAC DRIVE
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City | BOISE
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State | ID
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Zip | 83704-9150
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Country | US
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Telephone | 208-908-6111
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Fax | 208-908-6112
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH NALBONE
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Credential | D.C.
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Telephone | 208-908-6111
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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 | 1220
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License Number State | ID
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