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General NPI Number Information
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NPI Number | 1215127121
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Entity Type | Organization
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Legal Business Name | SIOUX CENTER CHIROPRACTIC WELLNESS AND CLINIC PC
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 81 W 1ST ST
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City | SIOUX CENTER
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State | IA
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Zip | 51250-1555
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Country | US
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Telephone | 712-722-0788
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Fax | 712-722-0789
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Provider Business Mailing Address
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Address Line | 81 W 1ST ST
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City | SIOUX CENTER
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State | IA
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Zip | 51250-1555
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Country | US
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Telephone | 712-722-0788
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Fax | 712-722-0789
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | KATHLEEN ARMSTRONG
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Credential |
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Telephone | 712-722-0788
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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 | A05158
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License Number State | IA
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