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General NPI Number Information
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NPI Number | 1346606092
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Entity Type | Organization
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Legal Business Name | ASPOC, P.C.
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 2900 UNIVERSITY AVE 330
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1251
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Country | US
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Telephone | 515-428-1545
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 65501
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City | WEST DES MOINES
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State | IA
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Zip | 50265-0501
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Country | US
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Telephone | 515-428-1545
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADAM ROBERT RIES
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Credential | D.C.
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Telephone | 515-428-1545
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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 | 007691
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License Number State | IA
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