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General NPI Number Information
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NPI Number | 1184897282
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Entity Type | Organization
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Legal Business Name | INNER NATURE CHIROPRACTIC INC
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 165 E BUNNELL AVE STE D
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City | HOMER
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State | AK
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Zip | 99603
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Country | US
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Telephone | 907-235-9300
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Fax | 907-235-9306
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Provider Business Mailing Address
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Address Line | 165 E BUNNELL AVE SUITE D
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City | HOMER
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State | AK
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Zip | 99603
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Country | US
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Telephone | 907-235-9300
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Fax | 907-235-9306
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Authorized Official
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Title or Position | OWNER PRESIDENT DOCTOR OF CHIROPRAC
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Name | ERIKA ELVERA ARNDT
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Credential | DC
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Telephone | 907-235-9300
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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 | AK433
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License Number State | AK
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