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General NPI Number Information
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NPI Number | 1194241372
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Entity Type | Organization
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Legal Business Name | AC CHIROPRACTIC AND WELLNESS, LLC
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 114 E 2ND ST
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City | LAUREL
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State | NE
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Zip | 68745-1990
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Country | US
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Telephone | 402-256-8200
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Fax | 402-256-8210
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Provider Business Mailing Address
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Address Line | PO BOX 307
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City | LAUREL
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State | NE
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Zip | 68745-0307
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Country | US
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Telephone | 402-256-8200
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Fax | 402-256-8210
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Authorized Official
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Title or Position | OWNER
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Name | AARON GERALD CHRISTIANSEN
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Credential | DC
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Telephone | 402-518-6011
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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 | 1753
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License Number State | NE
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