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General NPI Number Information
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NPI Number | 1740653732
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Entity Type | Organization
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Legal Business Name | WELLS CHIROPRACTIC INC
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 1608 10TH ST
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City | EAST MOLINE
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State | IL
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Zip | 61244-1405
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Country | US
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Telephone | 309-755-0323
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Fax | 309-755-9192
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Provider Business Mailing Address
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Address Line | 1608 10TH ST
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City | EAST MOLINE
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State | IL
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Zip | 61244-1405
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Country | US
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Telephone | 309-755-0323
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. TOBIJAS F WELLS
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Credential | D.C.
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Telephone | 563-505-0057
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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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