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General NPI Number Information
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NPI Number | 1740465418
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Entity Type | Organization
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Legal Business Name | SAYLORVILLE CHIROPRACTIC PC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6633 NW 6TH DR STE 3
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City | DES MOINES
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State | IA
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Zip | 50313-1008
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Country | US
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Telephone | 515-289-0400
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Fax | 515-289-0424
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Provider Business Mailing Address
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Address Line | 6633 NW 6TH DR APT 3
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City | DES MOINES
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State | IA
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Zip | 50313-1008
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Country | US
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Telephone | 515-289-0400
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Fax | 515-289-0424
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON M SCHLICHTE
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Credential | DC
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Telephone | 515-289-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State | IA
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