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General NPI Number Information
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NPI Number | 1689851990
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Entity Type | Organization
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Legal Business Name | DAY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 1302 XB PL STE 101
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City | AMES
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State | IA
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Zip | 50014-6326
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Country | US
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Telephone | 515-233-9464
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Fax | 515-292-5551
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Provider Business Mailing Address
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Address Line | 1302 XB PL STE 101
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City | AMES
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State | IA
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Zip | 50014-6326
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Country | US
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Telephone | 515-233-9464
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Fax | 515-292-5551
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Authorized Official
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Title or Position | OWNER
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Name | DR. LISA J DAY
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Credential | D.C.
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Telephone | 515-233-9464
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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 | 04629
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License Number State | IA
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