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General NPI Number Information
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NPI Number | 1699046177
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Entity Type | Organization
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Legal Business Name | SCHUELLER CHIROPRACTIC INC.
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Dates
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Enumeration Date | 01/16/2012
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Last Update Date | 01/16/2012
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Provider Practice Location Address
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Address Line | 219 BROAD ST N
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City | PRESCOTT
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State | WI
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Zip | 54021-1703
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Country | US
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Telephone | 715-262-3661
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Fax | 715-262-4146
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Provider Business Mailing Address
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Address Line | 808 5TH ST
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City | HUDSON
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State | WI
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Zip | 54016-1613
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Country | US
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Telephone | 715-386-7247
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD BURTON SCHUELLER
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Credential | D.C.
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Telephone | 715-386-7247
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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 | 220012
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License Number State | WI
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