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General NPI Number Information
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NPI Number | 1417102856
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Entity Type | Individual
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Provider Name | CHAD J BARFKNECHT DC
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Gender | Male
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 700 WOLSKE BAY RD STE 150
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City | MENOMONIE
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State | WI
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Zip | 54751-1659
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Country | US
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Telephone | 715-235-6767
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Fax | 715-235-1441
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Provider Business Mailing Address
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Address Line | 700 WOLSKE BAY RD STE 150
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City | MENOMONIE
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State | WI
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Zip | 54751-1659
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Country | US
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Telephone | 715-235-6767
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Fax | 715-235-1441
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 007149
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License Number State | IA
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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 | 4501-012
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License Number State | WI
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