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General NPI Number Information
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NPI Number | 1124691266
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Entity Type | Organization
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Legal Business Name | IOWA CHIROPRACTIC OF GRIMES PC
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 1451 SE 3RD ST STE 100
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City | GRIMES
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State | IA
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Zip | 50111-4847
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Country | US
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Telephone | 515-452-0250
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Fax |
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Provider Business Mailing Address
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Address Line | 1451 SE 3RD ST STE 100
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City | GRIMES
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State | IA
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Zip | 50111-4847
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Country | US
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Telephone | 515-452-0250
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AARON MARTIN
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Credential | DC
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Telephone | 515-964-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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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