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General NPI Number Information
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NPI Number | 1083850283
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Entity Type | Organization
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Legal Business Name | DONNELLSON CHIROPRACTIC CLINIC, PC
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 616 MADISON AVE
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City | DONNELLSON
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State | IA
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Zip | 52625-9453
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Country | US
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Telephone | 319-835-9011
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Fax | 319-835-9012
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Provider Business Mailing Address
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Address Line | 616 MADISON AVE
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City | DONNELLSON
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State | IA
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Zip | 52625-9453
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Country | US
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Telephone | 319-835-9011
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Fax | 319-835-9012
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. RHONDA JOY MAASSEN
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Credential | D.C.
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Telephone | 319-835-9011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 06716
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License Number State | IA
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