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General NPI Number Information
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NPI Number | 1649714171
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Entity Type | Organization
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Legal Business Name | ADIO CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 12/19/2016
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Provider Practice Location Address
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Address Line | 1001 N GAMMON RD SUITE 4
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City | MIDDLETON
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State | WI
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Zip | 53562-3874
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Country | US
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Telephone | 715-252-2390
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Fax |
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Provider Business Mailing Address
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Address Line | 7248 LINSLEY LN
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City | SAUK CITY
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State | WI
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Zip | 53583-9755
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Country | US
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Telephone | 715-252-2390
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | ERIC KURZINSKI
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Credential | D.C.
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Telephone | 715-252-2390
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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 | 5132-12
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License Number State | WI
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