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General NPI Number Information
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NPI Number | 1285327130
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Entity Type | Organization
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Legal Business Name | BRODHEAD FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/29/2023
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 1027 1ST CENTER AVE
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City | BRODHEAD
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State | WI
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Zip | 53520-1421
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Country | US
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Telephone | 608-214-5872
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Fax |
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Provider Business Mailing Address
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Address Line | N1997 COUNTY ROAD T
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City | BRODHEAD
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State | WI
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Zip | 53520-9102
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN SCHEURELL
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Credential | DC
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Telephone | 608-214-5872
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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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