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General NPI Number Information
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NPI Number | 1275191702
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Entity Type | Organization
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Legal Business Name | JOSH AITKEN, D.C., P.C.
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 3415 STATE ST STE C2
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City | GRAND ISLAND
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State | NE
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Zip | 68803-2467
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Country | US
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Telephone | 308-675-2066
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 STATE ST STE C2
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City | GRAND ISLAND
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State | NE
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Zip | 68803-2467
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Country | US
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Telephone | 308-675-2066
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. JOSHUA TIMOTHY AITKEN
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Credential | DC
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Telephone | 308-675-2066
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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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