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General NPI Number Information
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NPI Number | 1578243465
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Entity Type | Organization
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Legal Business Name | SETCHELL CHIROPRACTIC PC
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 1405 EAGLE RIDGE RD STE 2
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City | LE CLAIRE
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State | IA
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Zip | 52753-9382
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Country | US
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Telephone | 563-729-1400
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Fax | 563-729-1401
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Provider Business Mailing Address
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Address Line | 902 BLUFF LN
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City | LE CLAIRE
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State | IA
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Zip | 52753-9395
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Country | US
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Telephone | 815-866-5029
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRAD SETCHELL
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Credential | DC
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Telephone | 815-866-5029
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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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