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General NPI Number Information
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NPI Number | 1316481443
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Entity Type | Organization
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Legal Business Name | SCHREINER FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 901 KIMBALL LN # 1100
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City | VERONA
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State | WI
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Zip | 53593-1748
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Country | US
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Telephone | 608-848-0058
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Fax | 608-848-0059
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Provider Business Mailing Address
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Address Line | 901 KIMBALL LN # 1100
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City | VERONA
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State | WI
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Zip | 53593-1748
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Country | US
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Telephone | 608-848-0058
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Fax | 608-848-0059
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSHUA F SCHREINER
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Credential | D.C.
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Telephone | 608-448-9579
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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 | 5236 - 12
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License Number State | WI
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