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General NPI Number Information
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NPI Number | 1295516334
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Entity Type | Organization
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Legal Business Name | ECKARD CHIROPRACTIC LLC
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 1004 21ST ST
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City | MILFORD
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State | IA
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Zip | 51351-7421
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Country | US
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Telephone | 712-338-2850
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 W 18TH ST
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City | SPENCER
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State | IA
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Zip | 51301-2817
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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 | DR. MATTHEW ECKARD
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Credential | DC
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Telephone | 712-330-4710
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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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