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General NPI Number Information
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NPI Number | 1578504353
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Entity Type | Organization
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Legal Business Name | CORNHUSKER CHIROPRACTIC PC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2949 N 27TH ST SUITE 201
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City | LINCOLN
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State | NE
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Zip | 68521-1476
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Country | US
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Telephone | 402-466-1288
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Fax | 402-466-1288
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Provider Business Mailing Address
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Address Line | 2949 N 27TH ST SUITE 201
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City | LINCOLN
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State | NE
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Zip | 68521-1476
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Country | US
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Telephone | 402-466-1288
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Fax | 402-466-1288
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Authorized Official
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Title or Position | CHIROPRACTOR PRESIDENT OF CORNHUSKE
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Name | MR. BILL G WRIGHT
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Credential | DC
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Telephone | 402-466-1288
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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 | 940
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License Number State | NE
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