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General NPI Number Information
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NPI Number | 1346223393
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Entity Type | Individual
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Provider Name | HEATHER JO EINCK DC
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Gender | Female
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 215 1ST ST NE
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City | PRIMGHAR
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State | IA
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Zip | 51245-1000
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Country | US
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Telephone | 712-957-0102
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Fax | 712-957-0103
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Provider Business Mailing Address
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Address Line | PO BOX 178 215 FIRST STREET NE
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City | PRIMGHAR
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State | IA
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Zip | 51245-0178
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Country | US
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Telephone | 712-957-0102
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Fax | 712-957-0103
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 06532
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License Number State | IA
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