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General NPI Number Information
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NPI Number | 1508896655
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Entity Type | Individual
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Provider Name | ALVIN RAY SCHWERDTFAGER D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 136 N MAIN ST
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City | LINDSBORG
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State | KS
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Zip | 67456-2227
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Country | US
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Telephone | 785-227-2633
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Fax | 785-227-4193
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Provider Business Mailing Address
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Address Line | 136 N MAIN ST
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City | LINDSBORG
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State | KS
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Zip | 67456-2227
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Country | US
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Telephone | 785-227-2633
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Fax | 785-227-4193
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01-03688
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 01-03688
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License Number State | KS
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