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General NPI Number Information
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NPI Number | 1093847501
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Entity Type | Organization
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Legal Business Name | ERICKSON ADVANCED CHIROPRACTIC CENTER, P.C.
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Dates
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Enumeration Date | 03/10/2007
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 5733 S 34TH ST STE 200
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City | LINCOLN
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State | NE
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Zip | 68516-6633
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Country | US
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Telephone | 402-323-8833
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Fax | 402-323-8834
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Provider Business Mailing Address
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Address Line | 5733 S 34TH ST STE 200
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City | LINCOLN
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State | NE
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Zip | 68516-6633
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Country | US
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Telephone | 402-323-8833
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Fax | 402-323-8834
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINN W ERICKSON
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Credential | D.C.
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Telephone | 402-323-8833
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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 | 1022
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License Number State | NE
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