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General NPI Number Information
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NPI Number | 1346119518
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Entity Type | Organization
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Legal Business Name | CENTER FOR CHIROPRACTIC AND REHABILITATION IOWA, LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 203 E MILLER ST, STE F
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City | IOWA
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State | LA
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Zip | 70647-4075
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Country | US
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Telephone | 337-502-5303
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Fax | 337-479-2391
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Provider Business Mailing Address
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Address Line | 203 E MILLER ST, STE F
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City | IOWA
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State | LA
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Zip | 70647-4075
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Country | US
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Telephone | 337-502-5303
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Fax | 337-479-2391
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Authorized Official
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Title or Position | CREDENTIALING / INSURANCE
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Name | MRS. CHANTEL THIBODEAUX
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Credential |
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Telephone | 337-502-5303
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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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