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General NPI Number Information
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NPI Number | 1124512298
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Entity Type | Organization
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Legal Business Name | AKRIDGE AND AKRIDGE CHIROPRACTIC WEST, LLC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 1529 S 203RD ST STE 103
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City | OMAHA
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State | NE
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Zip | 68130-2867
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Country | US
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Telephone | 402-884-4774
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Fax |
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Provider Business Mailing Address
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Address Line | 1529 S 203RD ST STE 103
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City | OMAHA
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State | NE
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Zip | 68130-2867
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Country | US
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Telephone | 402-884-4774
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. CRAIG A AKRIDGE
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Credential | DC
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Telephone | 402-253-9350
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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 |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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