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General NPI Number Information
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NPI Number | 1497530554
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Entity Type | Organization
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Legal Business Name | FORWARD CARE CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 2018 STATE RD
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City | LA CROSSE
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State | WI
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Zip | 54601-5838
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Country | US
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Telephone | 608-784-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 2018 STATE RD
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City | LA CROSSE
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State | WI
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Zip | 54601-5838
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Country | US
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Telephone | 608-784-2500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATHEW J KACHEL
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Credential | DC
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Telephone | 608-780-8796
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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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