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General NPI Number Information
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NPI Number | 1447456595
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Entity Type | Organization
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Legal Business Name | NEBRASKA CHIROPRACTIC AND WELLNESS CENTER, INC
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2212 AVERY RD E
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City | BELLEVUE
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State | NE
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Zip | 68005-4643
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Country | US
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Telephone | 402-934-1622
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Fax | 402-934-1624
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Provider Business Mailing Address
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Address Line | 2212 AVERY RD E
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City | BELLEVUE
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State | NE
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Zip | 68005-4643
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Country | US
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Telephone | 402-934-1622
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Fax | 402-934-1624
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. FRANK THOMAS O'NEILL
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Credential | D.C.
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Telephone | 402-934-1622
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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 | 1307
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License Number State | NE
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