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General NPI Number Information
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NPI Number | 1598828196
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Entity Type | Organization
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Legal Business Name | DIEHL CHIROPRACTIC INC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 129 E SHERMAN ST
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City | HUTCHINSON
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State | KS
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Zip | 67501-7160
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Country | US
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Telephone | 620-665-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 129 E SHERMAN ST
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City | HUTCHINSON
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State | KS
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Zip | 67501-7160
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Country | US
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Telephone | 620-665-3000
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. STANLEY ALLEN DIEHL
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Credential | DC
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Telephone | 316-737-2753
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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 | 0104170
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License Number State | KS
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