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General NPI Number Information
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NPI Number | 1295838670
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Entity Type | Organization
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Legal Business Name | THREE RIVERS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 2946 DARLING COURT
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City | LACROSSE
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State | WI
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Zip | 54601
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Country | US
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Telephone | 608-783-3040
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Fax | 844-248-2389
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Provider Business Mailing Address
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Address Line | 2946 DARLING COURT
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City | LACROSSE
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State | WI
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Zip | 54601
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Country | US
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Telephone | 608-783-3040
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Fax | 844-248-2389
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Authorized Official
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Title or Position | OFFICER CO OWNER
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Name | CHAD W SCHULTZ
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Credential | DC
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Telephone | 608-783-3040
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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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