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General NPI Number Information
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NPI Number | 1578738886
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Entity Type | Organization
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Legal Business Name | SCHLEPPENBACH FAMILY CHIROPRACTIC SC
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 302 N BARSTOW ST
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City | EAU CLAIRE
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State | WI
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Zip | 54703
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Country | US
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Telephone | 715-836-7700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 544
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City | EAU CLAIRE
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State | WI
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Zip | 54702-0544
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Country | US
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Telephone | 715-529-7975
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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. LUCAS TEL SCHLEPPENBACH
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Credential | D.C.
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Telephone | 715-529-7975
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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 | 4373-012
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License Number State | WI
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