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NPI 1417228586

NPI 1417228586 : NERLAND CHIROPRACTIC AND INTEGRATIVE HEALTH PLLC : AMES, IA

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General NPI Number Information
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    NPI Number           |    1417228586
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    Entity Type          |    Organization 
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    Legal Business Name  |    NERLAND CHIROPRACTIC AND INTEGRATIVE HEALTH PLLC 
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Dates
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    Enumeration Date     |    01/22/2012
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    Last Update Date     |    01/22/2012
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Provider Practice Location Address
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    Address Line         |    622 BURNETT AVE 
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    City                 |    AMES
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    State                |    IA
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    Zip                  |    50010-6126
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    Country              |    US
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    Telephone            |    515-232-9075
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    Fax                  |    515-232-4995
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Provider Business Mailing Address
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    Address Line         |    622 BURNETT AVE 
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    City                 |    AMES
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    State                |    IA
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    Zip                  |    50010-6126
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    Country              |    US
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    Telephone            |    515-232-9075
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    Fax                  |    515-232-4995
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    DR. SCOTT DARWIN NERLAND 
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    Credential           |    D.C.
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    Telephone            |    515-232-9075
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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       |    06686
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    License Number State |    IA
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