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General NPI Number Information
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NPI Number | 1093262032
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Entity Type | Organization
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Legal Business Name | OSKALOOSA CHIROPRACTIC
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 609 DELAWARE ST
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City | OSKALOOSA
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State | KS
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Zip | 66066-5431
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Country | US
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Telephone | 785-863-2334
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Fax | 785-863-2563
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Provider Business Mailing Address
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Address Line | PO BOX 304
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City | OSKALOOSA
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State | KS
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Zip | 66066-0304
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Country | US
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Telephone | 785-863-2334
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Fax | 785-863-2563
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | SIMON NOLTING
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Credential | D.C.
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Telephone | 785-863-2334
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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 | KS
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