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General NPI Number Information
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NPI Number | 1255664579
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Entity Type | Organization
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Legal Business Name | STAUFFERS CHIROPRACTIC
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 735 S 56TH ST STE 3
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City | LINCOLN
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State | NE
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Zip | 68510-3960
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Country | US
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Telephone | 402-488-8801
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Fax | 402-488-8801
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Provider Business Mailing Address
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Address Line | 735 S 56TH ST STE 3
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City | LINCOLN
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State | NE
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Zip | 68510-3960
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Country | US
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Telephone | 402-488-8801
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Fax | 402-488-8801
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNEAL RENE STAUFFER
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Credential | D. C.
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Telephone | 402-488-8801
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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 |
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License Number State |
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