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General NPI Number Information
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NPI Number | 1548307986
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Entity Type | Individual
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Provider Name | JOHN H. NOBBE D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 966 S LIBRARY ST
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City | WATERLOO
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State | IL
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Zip | 62298-1484
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Country | US
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Telephone | 618-939-7400
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Fax | 618-939-7434
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Provider Business Mailing Address
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Address Line | 966 S LIBRARY ST
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City | WATERLOO
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State | IL
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Zip | 62298-1484
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Country | US
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Telephone | 618-939-7400
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Fax | 618-939-7434
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-0007391
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License Number State | IL
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