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General NPI Number Information
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NPI Number | 1316182967
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Entity Type | Organization
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Legal Business Name | NIPPERT CHIROPRACTIC HEALTH CENTER, P.A.
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Dates
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Enumeration Date | 12/11/2008
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Last Update Date | 12/11/2008
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Provider Practice Location Address
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Address Line | 650 N STATE ST STE 1
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City | SHELLEY
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State | ID
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Zip | 83274-4900
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Country | US
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Telephone | 214-288-5092
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Fax |
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Provider Business Mailing Address
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Address Line | 650 N STATE ST STE 1
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City | SHELLEY
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State | ID
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Zip | 83274-4900
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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 | PRESIDENT
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Name | DR. AARON W. NIPPERT
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Credential | D.C.
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Telephone | 214-288-5092
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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 | CHIA-1317
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License Number State | ID
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