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General NPI Number Information
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NPI Number | 1710549126
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Entity Type | Organization
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Legal Business Name | HEISLER CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 07/05/2019
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Provider Practice Location Address
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Address Line | 803 W SCENIC RIVERS BLVD STE B
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City | SALEM
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State | MO
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Zip | 65560-2549
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Country | US
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Telephone | 573-729-3542
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Fax |
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Provider Business Mailing Address
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Address Line | 803 W SCENIC RIVERS BLVD STE B
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City | SALEM
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State | MO
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Zip | 65560-2549
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Country | US
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Telephone | 573-729-3542
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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. LLOYD C. HEISLER
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Credential | D.C.
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Telephone | 573-729-3542
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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 |
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License Number State |
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