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General NPI Number Information
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NPI Number | 1467631309
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Entity Type | Organization
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Legal Business Name | NELSON CHIROPRACTIC S C
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Dates
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Enumeration Date | 10/28/2007
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 7800 N SOMMER ST STE 203
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City | PEORIA
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State | IL
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Zip | 61615-1990
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Country | US
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Telephone | 309-691-9767
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Fax | 309-691-9457
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Provider Business Mailing Address
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Address Line | 7800 N SOMMER ST STE 203
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City | PEORIA
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State | IL
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Zip | 61615-1990
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Country | US
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Telephone | 309-691-9767
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Fax | 309-691-9457
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Authorized Official
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Title or Position | PRESIDENT
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Name | RODNEY LOREN NELSON
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Credential |
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Telephone | 309-691-9767
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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 | 042.617841
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License Number State | IL
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