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General NPI Number Information
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NPI Number | 1467781567
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Entity Type | Organization
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Legal Business Name | BACK IN LINE CHIROPRACTIC AND MASSAGE LLC
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 2016 CEDAR PLAZA DR STE 11
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City | MUSCATINE
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State | IA
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Zip | 52761-2883
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Country | US
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Telephone | 563-288-6325
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Fax | 563-288-3034
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Provider Business Mailing Address
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Address Line | 2016 CEDAR PLAZA DR STE 11
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City | MUSCATINE
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State | IA
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Zip | 52761-2883
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Country | US
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Telephone | 563-288-6325
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Fax | 563-288-3034
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Authorized Official
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Title or Position | OWNER
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Name | DR. RACHEL SUZANNE MEEKS
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Credential | DC
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Telephone | 563-288-6325
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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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