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General NPI Number Information
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NPI Number | 1801018452
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Entity Type | Organization
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Legal Business Name | STROMGREN CHIROPRACTIC PA
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 24 NORTH WALNUT
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City | GLENWOOD
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State | IA
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Zip | 51534
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Country | US
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Telephone | 712-527-9880
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Fax | 712-527-3737
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Provider Business Mailing Address
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Address Line | 24 NORTH WALNUT
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City | GLENWOOD
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State | IA
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Zip | 51534
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Country | US
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Telephone | 712-527-9880
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Fax | 712-527-3737
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Authorized Official
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Title or Position | OWNER
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Name | TRACY A. STROMGREN
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Credential | D.C.
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Telephone | 712-527-9880
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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 | 6527
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License Number State | IA
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