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General NPI Number Information
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NPI Number | 1366614679
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Entity Type | Organization
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Legal Business Name | HEARTLAND FAMILY CHIROPRACTIC, PC
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 114 E 6TH ST
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City | LEXINGTON
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State | NE
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Zip | 68850-1905
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Country | US
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Telephone | 308-324-2294
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Fax | 308-324-2094
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Provider Business Mailing Address
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Address Line | 114 E 6TH ST PO BOX 842
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City | LEXINGTON
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State | NE
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Zip | 68850-1905
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Country | US
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Telephone | 308-324-2294
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Fax | 308-324-2094
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Authorized Official
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Title or Position | OWNER
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Name | CHELSA M WINHEIM
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Credential | DC
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Telephone | 308-324-2294
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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 | 1481
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License Number State | NE
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