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General NPI Number Information
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NPI Number | 1376102954
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Entity Type | Organization
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Legal Business Name | HEALTH JOURNEY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 06/07/2019
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Provider Practice Location Address
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Address Line | 5973 EXECUTIVE DR UNIT 3
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City | FITCHBURG
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State | WI
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Zip | 53719-5336
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Country | US
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Telephone | 608-274-7090
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Fax | 608-274-4075
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Provider Business Mailing Address
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Address Line | PO BOX 500
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City | MC FARLAND
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State | WI
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Zip | 53558-0500
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Country | US
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Telephone | 608-274-7090
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MELISSA A LUHRS
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Credential | DC
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Telephone | 608-274-7090
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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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