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General NPI Number Information
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NPI Number | 1699959551
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Entity Type | Organization
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Legal Business Name | LAKELAND CHIROPRACTIC- OOSTBURG
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 220 S BUSINESS PARK DR STE A7
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City | OOSTBURG
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State | WI
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Zip | 53070-1586
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Country | US
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Telephone | 920-564-6061
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Fax |
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Provider Business Mailing Address
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Address Line | 220 S BUSINESS PARK DR STE A7
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City | OOSTBURG
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State | WI
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Zip | 53070-1586
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Country | US
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Telephone | 920-564-6061
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DIRK MATTHEW DULMES
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Credential | D.C.
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Telephone | 920-564-6061
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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 | 4192-012
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License Number State | WI
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