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General NPI Number Information
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NPI Number | 1588823884
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Entity Type | Organization
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Legal Business Name | CHIRTOPRACTIC HEALTH CENTER
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 1208 9TH STREET
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City | BARABOO
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State | WI
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Zip | 53913
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Country | US
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Telephone | 608-356-0177
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Fax | 608-356-3265
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Provider Business Mailing Address
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Address Line | 1208 9TH STREET
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City | BARABOO
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State | WI
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Zip | 53913
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Country | US
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Telephone | 608-356-0177
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | MS. PAMELA J THOMPSON
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Credential | D.C.
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Telephone | 608-356-0177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 2665-012
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License Number State | WI
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