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NPI 1225213127

NPI 1225213127 : DARREN BRESSLER D.C., P.C. : LARAMIE, WY

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General NPI Number Information
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    NPI Number           |    1225213127
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    Entity Type          |    Organization 
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    Legal Business Name  |    DARREN BRESSLER D.C., P.C. 
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Dates
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    Enumeration Date     |    01/09/2008
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    Last Update Date     |    01/09/2008
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Provider Practice Location Address
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    Address Line         |    807 S 3RD ST 
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    City                 |    LARAMIE
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    State                |    WY
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    Zip                  |    82070-4419
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    Country              |    US
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    Telephone            |    307-742-6840
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    Fax                  |    307-745-3712
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Provider Business Mailing Address
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    Address Line         |    807 S 3RD ST 
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    City                 |    LARAMIE
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    State                |    WY
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    Zip                  |    82070-4419
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    Country              |    US
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    Telephone            |    307-742-6840
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    Fax                  |    307-745-3712
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. DARREN  BRESSLER 
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    Credential           |    DC
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    Telephone            |    307-755-0255
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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       |    601
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    License Number State |    WY
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