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General NPI Number Information
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NPI Number | 1447440714
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Entity Type | Organization
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Legal Business Name | REISTROFFER FAMILY CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 307 E 12TH ST
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City | CRETE
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State | NE
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Zip | 68333-2234
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Country | US
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Telephone | 402-826-2191
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Fax | 402-826-5844
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Provider Business Mailing Address
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Address Line | 307 E 12TH ST
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City | CRETE
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State | NE
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Zip | 68333-2234
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Country | US
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Telephone | 402-826-2191
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Fax | 402-826-5844
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Authorized Official
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Title or Position | OWNER/DR
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Name | DR. TROY A REISTROFFER
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Credential | DC
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Telephone | 402-826-2191
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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 |
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License Number State |
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