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General NPI Number Information
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NPI Number | 1578918173
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Entity Type | Organization
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Legal Business Name | SCHROCK CHIROPRACTIC/ACUPUNCTURE, PC
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 5911 2ND AVE W
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City | KEARNEY
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State | NE
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Zip | 68847-1581
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Country | US
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Telephone | 308-236-6499
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Fax | 308-236-2050
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Provider Business Mailing Address
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Address Line | 5911 2ND AVE W
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City | KEARNEY
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State | NE
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Zip | 68847-1581
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Country | US
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Telephone | 308-236-6499
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Fax | 308-236-2050
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | CREIGHTON HINZE
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Credential | D.C.
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Telephone | 308-991-0458
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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 | 1895
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License Number State | NE
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