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General NPI Number Information
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NPI Number | 1124814595
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Entity Type | Individual
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Provider Name | JACK ALLEN TRESSEL DC
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Gender | Male
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 115 1ST AVE W
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City | DYERSVILLE
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State | IA
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Zip | 52040-1104
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Country | US
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Telephone | 563-875-9255
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Fax |
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Provider Business Mailing Address
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Address Line | 1290 HIGHWAY 35 N
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City | EAST DUBUQUE
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State | IL
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Zip | 61025-9676
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 130556
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License Number State | IA
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