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General NPI Number Information
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NPI Number | 1790449478
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Entity Type | Organization
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Legal Business Name | FIVE POINTS FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 334 E RIDGEWAY AVE
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City | WATERLOO
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State | IA
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Zip | 50702-5042
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Country | US
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Telephone | 319-252-4510
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Fax |
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Provider Business Mailing Address
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Address Line | 801 OREGON ST
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City | WATERLOO
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State | IA
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Zip | 50702-2434
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Country | US
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Telephone | 319-830-4326
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | AMEL NUHANOVIC
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Credential | DC
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Telephone | 319-830-4326
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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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