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General NPI Number Information
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NPI Number | 1285833582
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Entity Type | Organization
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Legal Business Name | FALKOWSKI CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 223 W PARADISE DR
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City | WEST BEND
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State | WI
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Zip | 53095-4903
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Country | US
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Telephone | 262-338-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 223 W PARADISE DR
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City | WEST BEND
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State | WI
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Zip | 53095-4903
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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/DOCTOR
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Name | DR. PATRICK FALKOWSKI
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Credential |
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Telephone | 262-338-0300
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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 | 4054-012
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License Number State | WI
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