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General NPI Number Information
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NPI Number | 1356978522
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Entity Type | Organization
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Legal Business Name | LOUISBURG CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 15 S BROADWAY ST
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City | LOUISBURG
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State | KS
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Zip | 66053-3613
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Country | US
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Telephone | 913-837-2910
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Fax | 913-837-2911
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Provider Business Mailing Address
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Address Line | 15 S BROADWAY ST
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City | LOUISBURG
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State | KS
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Zip | 66053-3613
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Country | US
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Telephone | 913-837-2910
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Fax | 913-837-2911
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. JACOB E POLZIN
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Credential | DC
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Telephone | 913-837-2910
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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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