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NPI 1285836775

NPI 1285836775 : SCHULZ CHIROPRACTIC & ACUPUNCTURE, LLC : HASTINGS, NE

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General NPI Number Information
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    NPI Number           |    1285836775
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCHULZ CHIROPRACTIC & ACUPUNCTURE, LLC 
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Dates
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    Enumeration Date     |    06/05/2007
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    Last Update Date     |    09/18/2009
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Provider Practice Location Address
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    Address Line         |    235 N SAINT JOSEPH AVE 
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    City                 |    HASTINGS
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    State                |    NE
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    Zip                  |    68901-7555
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    Country              |    US
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    Telephone            |    402-463-3363
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    235 N SAINT JOSEPH AVE 
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    City                 |    HASTINGS
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    State                |    NE
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    Zip                  |    68901-7555
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    Country              |    US
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    Telephone            |    402-463-3363
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. SCOTT L SCHULZ 
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    Credential           |    
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    Telephone            |    402-463-3363
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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       |    0978
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    License Number State |    NE
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