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General NPI Number Information
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NPI Number | 1629209218
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Entity Type | Organization
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Legal Business Name | JC LOTZER CHIROPRACTIC INC
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 213 7TH ST S
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City | MOORHEAD
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State | MN
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Zip | 56560-2740
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Country | US
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Telephone | 218-233-5141
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Fax | 218-233-3348
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Provider Business Mailing Address
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Address Line | 213 7TH ST S
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City | MOORHEAD
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State | MN
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Zip | 56560-2740
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Country | US
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Telephone | 218-233-5141
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Fax | 218-233-3348
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFF LOTZER
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Credential | DC
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Telephone | 218-233-5141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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