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General NPI Number Information
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NPI Number | 1639240351
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC HEALTH CLINIC OF MILLARD PC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2727 S 144TH ST SUITE 230
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City | OMAHA
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State | NE
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Zip | 68144-5225
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Country | US
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Telephone | 402-778-5470
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Fax | 402-778-5471
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Provider Business Mailing Address
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Address Line | 2727 S 144TH ST SUITE 230
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City | OMAHA
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State | NE
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Zip | 68144-5225
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Country | US
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Telephone | 402-778-5470
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Fax | 402-778-5471
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Authorized Official
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Title or Position | V PRESIDENT / DOCTOR
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Name | DR. ANDREA MARIE EILER
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Credential | DC
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Telephone | 402-778-5470
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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 | 782
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License Number State | NE
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