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General NPI Number Information
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NPI Number | 1316736101
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Entity Type | Organization
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Legal Business Name | MOMENTUM CHIROPRACTIC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 7340 S HOWELL AVE UNIT 9
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City | OAK CREEK
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State | WI
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Zip | 53154-7486
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Country | US
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Telephone | 608-574-9812
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Fax |
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Provider Business Mailing Address
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Address Line | 7971 S 6TH ST APT 135
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City | OAK CREEK
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State | WI
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Zip | 53154-2016
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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. TAYLOR BRIEHL
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Credential | DC
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Telephone | 608-574-9812
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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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