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General NPI Number Information
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NPI Number | 1083675417
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Entity Type | Organization
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Legal Business Name | BARGE & BARGE CHIROPRACTIC CENTER LTD
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 2045 32ND ST S
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City | LA CROSSE
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State | WI
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Zip | 54601-7026
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Country | US
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Telephone | 608-788-7118
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Fax | 608-787-6171
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Provider Business Mailing Address
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Address Line | 2045 32ND ST S
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City | LA CROSSE
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State | WI
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Zip | 54601-7026
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Country | US
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Telephone | 608-788-7118
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Fax | 608-787-6171
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. PAMELA J BARGE
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Credential | D.C.C
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Telephone | 608-788-7118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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