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General NPI Number Information
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NPI Number | 1467697466
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Entity Type | Organization
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Legal Business Name | FLAMBEAU CHIROPRACTIC CENTER LTD
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Dates
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Enumeration Date | 12/05/2008
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Last Update Date | 01/09/2009
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Provider Practice Location Address
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Address Line | 2523 W FOLSOM ST
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City | EAU CLAIRE
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State | WI
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Zip | 54703-2463
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Country | US
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Telephone | 715-552-7205
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Fax | 715-552-7207
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Provider Business Mailing Address
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Address Line | 2523 W FOLSOM ST
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City | EAU CLAIRE
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State | WI
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Zip | 54703-2463
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Country | US
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Telephone | 715-552-7205
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Fax | 715-552-7207
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DALE GREGORY SCHULTZ
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Credential | DC
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Telephone | 715-552-7205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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