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General NPI Number Information
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NPI Number | 1538413075
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Entity Type | Organization
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Legal Business Name | EXCEL CHIROPRACTIC AND WELLNESS P.C.
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 4220 LUCILE DR SUITE 2
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City | LINCOLN
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State | NE
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Zip | 68506-6002
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Country | US
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Telephone | 402-327-0400
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Fax | 402-327-0441
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Provider Business Mailing Address
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Address Line | 4220 LUCILE DR SUITE 2
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City | LINCOLN
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State | NE
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Zip | 68506-6002
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Country | US
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Telephone | 402-327-0400
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Fax | 402-327-0441
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. ARON DOUGLAS FERGUSON
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Credential | D.C.
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Telephone | 402-875-1303
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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 | 1476
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License Number State | NE
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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 | 1627
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License Number State | NE
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