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General NPI Number Information
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NPI Number | 1124010376
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC SOLUTIONS PC
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 1350 BOYSON RD BLDG C
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City | HIAWATHA
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State | IA
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Zip | 52233-2211
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Country | US
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Telephone | 319-393-0086
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Fax | 319-294-0700
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Provider Business Mailing Address
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Address Line | 1350 BOYSON RD BLDG C
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City | HIAWATHA
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State | IA
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Zip | 52233-2211
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Country | US
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Telephone | 319-393-0086
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Fax | 319-294-0700
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL WILLIAM KELLEN
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Credential | DC
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Telephone | 319-393-0086
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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 | A05926
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License Number State | IA
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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 | A05868
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License Number State | IA
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