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NPI 1801063920

NPI 1801063920 : SARPY CHIROPRACTIC P.C. : PAPILLION, NE

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General NPI Number Information
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    NPI Number           |    1801063920
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    Entity Type          |    Organization 
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    Legal Business Name  |    SARPY CHIROPRACTIC P.C. 
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Dates
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    Enumeration Date     |    05/08/2008
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    Last Update Date     |    03/14/2016
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Provider Practice Location Address
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    Address Line         |    10701 S 72ND ST STE 120
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    City                 |    PAPILLION
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    State                |    NE
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    Zip                  |    68046-3427
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    Country              |    US
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    Telephone            |    402-593-9930
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    Fax                  |    402-593-0310
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Provider Business Mailing Address
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    Address Line         |    10701 S 72ND ST STE 120
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    City                 |    PAPILLION
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    State                |    NE
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    Zip                  |    68046-3427
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    Country              |    US
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    Telephone            |    402-593-9930
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    Fax                  |    402-593-0310
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    DR. RODNEY CHARLES WHITE 
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    Credential           |    DC
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    Telephone            |    402-593-9930
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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       |    918
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    License Number State |    NE
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