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General NPI Number Information
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NPI Number | 1649483157
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Entity Type | Individual
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Provider Name | RACHEL R BOUSKA DC
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 2837 DARLING COURT
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City | LACROSSE
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State | WI
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Zip | 54601-4478
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Country | US
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Telephone | 608-783-3040
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Fax | 844-248-2389
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Provider Business Mailing Address
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Address Line | 2837 DARLING COURT
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City | LACROSSE
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State | WI
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Zip | 54601-4478
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Country | US
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Telephone | 608-783-3040
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Fax | 844-248-2389
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4959
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4420-012
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License Number State | WI
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