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General NPI Number Information
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NPI Number | 1639555956
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Entity Type | Organization
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Legal Business Name | HUMPHREY CHIROPRACTIC
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 303 MAIN ST
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City | HUMPHREY
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State | NE
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Zip | 68642-3163
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Country | US
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Telephone | 402-923-0693
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Fax | 402-923-0137
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Provider Business Mailing Address
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Address Line | 303 MAIN ST
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City | HUMPHREY
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State | NE
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Zip | 68642-3163
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | AUDRA L. SCHEERGER
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Credential | D.C.
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Telephone | 402-923-0693
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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 | 1624
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License Number State | NE
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