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General NPI Number Information
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NPI Number | 1194758896
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC CONCEPTS
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2007 18TH ST STE 1
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City | SPIRIT LAKE
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State | IA
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Zip | 51360-1061
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Country | US
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Telephone | 712-336-1330
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Fax | 712-336-4240
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Provider Business Mailing Address
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Address Line | 2007 18TH ST STE 1
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City | SPIRIT LAKE
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State | IA
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Zip | 51360-1061
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Country | US
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Telephone | 712-336-1330
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Fax | 712-336-4240
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. STEPHANIE J. VELDMAN
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Credential | DC,CCSP
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Telephone | 712-336-1330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | A5663
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License Number State | IA
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