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General NPI Number Information
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NPI Number | 1346555109
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Entity Type | Organization
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Legal Business Name | DENN CHIROPRACTIC LLC
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 12/17/2010
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Provider Practice Location Address
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Address Line | 4753 COUNTY HIGHWAY J
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-3387
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Country | US
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Telephone | 715-726-0400
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Fax | 715-726-0422
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Provider Business Mailing Address
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Address Line | 4753 COUNTY HIGHWAY J
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-3387
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Country | US
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Telephone | 715-726-0400
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Fax | 715-726-0422
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JASON SCOTT DENN
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Credential | DC
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Telephone | 715-726-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 3926-012
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License Number State | WI
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