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General NPI Number Information
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NPI Number | 1619045895
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Entity Type | Organization
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Legal Business Name | DR. JUDITH YAGER DC, INC.
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 109 DIVISION STREET
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City | COBB
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State | WI
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Zip | 53526
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Country | US
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Telephone | 608-623-3800
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Fax | 608-623-3802
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Provider Business Mailing Address
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Address Line | PO BOX 125
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City | COBB
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State | WI
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Zip | 53526-0125
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Country | US
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Telephone | 608-623-3800
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Fax | 608-623-3802
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUDITH YAGER
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Credential | DC
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Telephone | 608-623-3800
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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 | 3435-012
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License Number State | WI
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