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General NPI Number Information
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NPI Number | 1467670547
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Entity Type | Organization
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Legal Business Name | NOWAK & LEWIS CHIROPRACTIC S.C.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | 4600 W LOOMIS RD STE 110
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City | GREENFIELD
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State | WI
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Zip | 53220-4858
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Country | US
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Telephone | 414-481-1021
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Fax | 414-481-3044
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Provider Business Mailing Address
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Address Line | 985 W OKLAHOMA AVE
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City | MILWAUKEE
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State | WI
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Zip | 53215-4749
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Country | US
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Telephone | 414-481-1021
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Fax | 414-481-3044
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LINDA MARIE TRINASTIC
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Credential |
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Telephone | 414-481-1021
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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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