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General NPI Number Information
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NPI Number | 1245367861
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Entity Type | Organization
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Legal Business Name | SCHMITZ CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 103 W LEFFLER ST
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City | DODGEVILLE
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State | WI
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Zip | 53533-1175
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Country | US
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Telephone | 608-935-5553
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Fax | 608-935-5688
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | DODGEVILLE
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State | WI
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Zip | 53533-0097
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Country | US
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Telephone | 608-935-5553
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Fax | 608-935-5688
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. DAVID PETER SCHMITZ
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Credential | D.C.
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Telephone | 608-935-5553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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