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General NPI Number Information
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NPI Number | 1215002399
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Entity Type | Organization
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Legal Business Name | DIRKER CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 707 S TAYLOR DR
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City | SHEBOYGAN
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State | WI
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Zip | 53081-4278
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Country | US
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Telephone | 920-451-7000
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Fax | 920-451-7100
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Provider Business Mailing Address
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Address Line | 707 S TAYLOR DR
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City | SHEBOYGAN
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State | WI
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Zip | 53081-4278
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Country | US
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Telephone | 920-451-7000
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Fax | 920-451-7100
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOE A DIRKER
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Credential | D.C.
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Telephone | 920-451-7000
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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 | 3361
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License Number State | WI
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