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General NPI Number Information
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NPI Number | 1134137268
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Entity Type | Individual
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Provider Name | ALLISON WOLAK QUADHAMER D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 05/24/2017
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Provider Practice Location Address
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Address Line | 501 HIGHWAY 34
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City | UTICA
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State | NE
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Zip | 68456-6079
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Country | US
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Telephone | 402-534-2203
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Fax | 402-534-2204
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Provider Business Mailing Address
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Address Line | 383 BIG PINE DR. PO BOX 335
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906
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Country | US
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Telephone | 765-607-4671
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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 | 038010513
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License Number State | IL
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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 | 1562
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002929A
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License Number State | IN
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