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General NPI Number Information
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NPI Number | 1487809869
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Entity Type | Organization
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Legal Business Name | DIERENFIELD CHIROPRACTIC L.L.C.
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 121 E 28TH ST
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City | SOUTH SIOUX CITY
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State | NE
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Zip | 68776-3206
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Country | US
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Telephone | 402-987-2563
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Fax | 402-987-2563
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Provider Business Mailing Address
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Address Line | P.O. BOX 216
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City | DAKOTA CITY
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State | NE
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Zip | 68731
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Country | US
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Telephone | 402-987-2557
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Fax |
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Authorized Official
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Title or Position | OWNER OF L.L.C.
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Name | DR. NANCY LOU DIERENFIELD
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Credential | DR. OF CHIROPRACTIC
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Telephone | 402-987-2557
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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 | 4906
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | A05431
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 947
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License Number State | NE
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