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General NPI Number Information
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NPI Number | 1659762920
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Entity Type | Organization
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Legal Business Name | LEON CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 606 E PLATT ST
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City | MAQUOKETA
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State | IA
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Zip | 52060-2415
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Country | US
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Telephone | 563-652-5687
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Fax |
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Provider Business Mailing Address
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Address Line | 606 E PLATT ST
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City | MAQUOKETA
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State | IA
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Zip | 52060-2415
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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 | OFFICE MANAGER
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Name | CATHY OSTERT
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Credential |
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Telephone | 563-652-5687
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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 | 06673
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License Number State | IA
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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 | 007213
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 04417
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License Number State | IA
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