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General NPI Number Information
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NPI Number | 1548111875
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Entity Type | Organization
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Legal Business Name | PERRIGO CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 8420 W DODGE RD STE 220
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City | OMAHA
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State | NE
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Zip | 68114-3492
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Country | US
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Telephone | 402-730-8396
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 MARTHA ST APT 7W
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City | OMAHA
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State | NE
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Zip | 68105-3170
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Country | US
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Telephone | 402-730-8396
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROGER EDWIN PERRIGO JR.
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Credential | DC
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Telephone | 402-730-8396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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