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General NPI Number Information
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NPI Number | 1386783298
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Entity Type | Organization
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Legal Business Name | RECKERS FAMILY CHIROPRACTIC SERVICES INC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 216 NORTH MAIN STREET SUITE 3
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City | MONTICELLO
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State | IA
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Zip | 52310-1748
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Country | US
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Telephone | 319-465-2060
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Fax | 319-465-7022
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Provider Business Mailing Address
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Address Line | 216 NORTH MAIN STREET SUITE 3
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City | MONTICELLO
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State | IA
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Zip | 52310-1748
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Country | US
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Telephone | 319-465-2060
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Fax | 319-465-7022
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EMILY P RECKER
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Credential | D.C.
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Telephone | 319-465-2060
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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 | 06356
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License Number State | IA
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