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General NPI Number Information
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NPI Number | 1336791888
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Entity Type | Organization
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Legal Business Name | SKEMP CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/15/2019
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Last Update Date | 07/15/2019
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Provider Practice Location Address
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Address Line | 100 W CHESTNUT ST
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City | BURLINGTON
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State | WI
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Zip | 53105-1203
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Country | US
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Telephone | 563-543-3758
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Fax |
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Provider Business Mailing Address
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Address Line | 518 BRIDGEWATER CIR
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City | WILLIAMS BAY
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State | WI
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Zip | 53191-3724
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Country | US
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Telephone | 563-543-3758
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY SKEMP
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Credential | DC
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Telephone | 563-543-3758
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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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