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General NPI Number Information
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NPI Number | 1396824017
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Entity Type | Organization
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Legal Business Name | FICEK CHIROPRACTIC, PC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 562 1/2 12TH ST. W
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City | DICKINSON
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State | ND
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Zip | 58601-3509
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Country | US
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Telephone | 701-483-8824
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Fax | 701-483-1443
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Provider Business Mailing Address
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Address Line | 562 1/2 12TH ST. W
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City | DICKINSON
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State | ND
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Zip | 58601-3509
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Country | US
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Telephone | 701-483-8824
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Fax | 701-483-1443
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Authorized Official
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Title or Position | D.C./SEC/TREAS.
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Name | DR. MARIPAT BIEL-FICEK
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Credential | D.C.
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Telephone | 701-483-8824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 638
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 639
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License Number State | ND
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