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General NPI Number Information
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NPI Number | 1780012005
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Entity Type | Organization
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Legal Business Name | VOSBERG CHIROPRACTIC LLC
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 8191 BIRCHWOOD CT SUITE C
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City | JOHNSTON
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State | IA
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Zip | 50131-2931
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Country | US
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Telephone | 515-276-8326
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Fax | 515-276-5405
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Provider Business Mailing Address
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Address Line | 8191 BIRCHWOOD CT SUITE C
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City | JOHNSTON
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State | IA
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Zip | 50131-2931
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Country | US
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Telephone | 515-276-8326
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Fax | 515-276-5405
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Authorized Official
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Title or Position | OWNER
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Name | DR. BROCK ANDREW VOSBERG
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Credential | D.C.
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Telephone | 515-276-8326
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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 | 007704
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License Number State | IA
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