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General NPI Number Information
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NPI Number | 1538896006
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Entity Type | Organization
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Legal Business Name | CONNOR CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 924 GRANT ST
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City | BLAIR
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State | NE
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Zip | 68008-2153
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Country | US
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Telephone | 402-426-0404
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 605
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City | BLAIR
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State | NE
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Zip | 68008-0605
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Country | US
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Telephone | 402-426-0404
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. SEAN M CONNOR
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Credential | DC
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Telephone | 531-625-9182
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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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