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General NPI Number Information
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NPI Number | 1467119123
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Entity Type | Individual
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Provider Name | JARED MICHAEL LANGEL DC
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Gender | Male
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 1421 RED FOX CROSSING STE 2
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City | LE MARS
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State | IA
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Zip | 51031-2899
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Country | US
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Telephone | 712-305-0154
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 RED FOX CROSSING STE 2
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City | LE MARS
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State | IA
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Zip | 51031-2899
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Country | US
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Telephone | 712-305-0154
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Fax |
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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 | 111304
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License Number State | IA
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