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General NPI Number Information
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NPI Number | 1760711873
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Entity Type | Organization
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Legal Business Name | LANDEN CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 10/18/2019
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Provider Practice Location Address
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Address Line | 1115 W 8TH ST
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City | CHADRON
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State | NE
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Zip | 69337-2920
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Country | US
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Telephone | 308-432-8098
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Fax | 308-432-8442
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Provider Business Mailing Address
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Address Line | 1115 W 8TH ST
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City | CHADRON
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State | NE
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Zip | 69337-2920
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Country | US
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Telephone | 308-432-8098
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Fax | 308-432-8442
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERICH JOHN LANDEN
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Credential | D.C.
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Telephone | 308-432-8098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1600
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License Number State | NE
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