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General NPI Number Information
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NPI Number | 1326069261
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Entity Type | Organization
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Legal Business Name | EDIE BEGUELIN DC
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 316 E SILVER SPRING DR SUITE #301
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City | MILWAUKEE
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State | WI
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Zip | 53217-5274
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Country | US
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Telephone | 414-962-9880
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Fax |
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Provider Business Mailing Address
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Address Line | 316 E SILVER SPRING DR SUITE #301
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City | MILWAUKEE
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State | WI
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Zip | 53217-5274
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Country | US
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Telephone | 414-962-9880
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | EDIE BEGUELIN
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Credential | DC
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Telephone | 414-962-9880
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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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