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General NPI Number Information
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NPI Number | 1093961526
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Entity Type | Organization
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Legal Business Name | PLAZA CHIROPRACTIC CTR
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 1620 S. MAQ. RD
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City | PRAIRIE DU CHIEN
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State | WI
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Zip | 53821-3012
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Country | US
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Telephone | 608-326-8712
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Fax | 608-326-7053
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Provider Business Mailing Address
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Address Line | 1620 S. MAQ. RD
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City | PRAIRIE DU CHIEN
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State | WI
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Zip | 53821-3012
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Country | US
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Telephone | 608-326-8712
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Fax | 608-326-7053
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Authorized Official
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Title or Position | CLINIC DIR.
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Name | DR. ARNOLD F. STEELE
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Credential | D.C.
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Telephone | 608-326-8712
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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 | 1263-012
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License Number State | WI
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