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General NPI Number Information
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NPI Number | 1437295581
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Entity Type | Organization
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Legal Business Name | DENAEYER CHIROPRACTIC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 308 W 4TH ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-3828
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Country | US
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Telephone | 308-532-0234
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Fax | 308-532-0370
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Provider Business Mailing Address
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Address Line | 308 W 4TH ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-3828
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Country | US
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Telephone | 308-532-0234
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Fax | 308-532-0370
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Authorized Official
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Title or Position | MBR OWNER
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Name | DR. STEPHANIE DENAEYER
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Credential | D.C.
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Telephone | 308-532-0234
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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 | 1355
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License Number State | NE
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