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General NPI Number Information
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NPI Number | 1760677660
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Entity Type | Organization
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Legal Business Name | KLUVER CHIROPRACTIC, PC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 111 1ST ST NE
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City | MOUNT VERNON
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State | IA
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Zip | 52314-1422
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Country | US
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Telephone | 319-895-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 111 1ST ST NE
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City | MOUNT VERNON
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State | IA
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Zip | 52314-1422
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Country | US
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Telephone | 319-895-6789
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. BRAD A KLUVER
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Credential | DC
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Telephone | 319-895-6789
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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 | 06632
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License Number State | IA
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