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NPI 1598849184

NPI 1598849184 : DION S. FICEK DC : DICKINSON, ND

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General NPI Number Information
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    NPI Number           |    1598849184
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    Entity Type          |    Individual 
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    Provider Name        |    DION S. FICEK DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/24/2006
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    Last Update Date     |    01/02/2008
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Provider Practice Location Address
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    Address Line         |    562 1/2 12TH ST. W 
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    City                 |    DICKINSON
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    State                |    ND
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    Zip                  |    58601-3509
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    Country              |    US
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    Telephone            |    701-483-8824
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    Fax                  |    701-483-1443
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Provider Business Mailing Address
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    Address Line         |    562 1/2 12TH ST. W 
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    City                 |    DICKINSON
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    State                |    ND
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    Zip                  |    58601-3509
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    Country              |    US
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    Telephone            |    701-483-8824
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    Fax                  |    701-483-1443
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111NS0005X
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    Taxonomy Name        |    Sports Physician Chiropractor
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    License Number       |    638
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    License Number State |    ND
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