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General NPI Number Information
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NPI Number | 1609474873
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Entity Type | Organization
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Legal Business Name | ALGONA CHIROPRACTIC CLINIC PLLC
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Dates
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Enumeration Date | 10/11/2020
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 112 S DODGE ST
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City | ALGONA
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State | IA
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Zip | 50511-2662
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Country | US
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Telephone | 515-295-9414
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Fax |
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Provider Business Mailing Address
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Address Line | 2012 IRVINGTON RD
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City | ALGONA
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State | IA
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Zip | 50511-7171
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Country | US
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Telephone | 712-330-4962
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JUSTIN BUNKERS
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Credential | D.C
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Telephone | 712-330-4962
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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 |
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License Number State |
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