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General NPI Number Information
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NPI Number | 1801275912
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Entity Type | Organization
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Legal Business Name | CORNERSTONE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 840 BROOKS RD
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City | IOWA FALLS
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State | IA
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Zip | 50126-8022
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Country | US
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Telephone | 641-316-1115
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Fax | 641-316-1116
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Provider Business Mailing Address
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Address Line | 840 BROOKS RD
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City | IOWA FALLS
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State | IA
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Zip | 50126-8022
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Country | US
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Telephone | 641-316-1115
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Fax | 641-316-1116
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Authorized Official
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Title or Position | DOCTOR
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Name | PAIGE VIERKANDT
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Credential |
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Telephone | 641-316-1115
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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 | 076279
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License Number State | IA
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