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General NPI Number Information
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NPI Number | 1740489913
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Entity Type | Organization
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Legal Business Name | ZIMMERMAN CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 605 NORTH MAIN STREET
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City | HIGHLAND
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State | WI
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Zip | 53543
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Country | US
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Telephone | 608-929-4200
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Fax | 608-929-4201
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Provider Business Mailing Address
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Address Line | 605 NORTH MAIN STREET P.O. BOX 42
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City | HIGHLAND
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State | WI
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Zip | 53543
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Country | US
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Telephone | 608-929-4200
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Fax | 608-929-4201
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. AMY J. ZIMMERMAN
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Credential | D.C.
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Telephone | 608-929-4200
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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 | 4278012
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License Number State | WI
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