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General NPI Number Information
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NPI Number | 1821614363
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Entity Type | Organization
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Legal Business Name | CORE CHIROPRACTIC & WELLNESS PC
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Dates
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Enumeration Date | 06/21/2020
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2013 WILLOW CREEK DR STE 1
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City | WATERTOWN
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State | SD
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Zip | 57201-9150
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Country | US
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Telephone | 605-886-8650
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Fax | 605-886-8663
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Provider Business Mailing Address
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Address Line | 2013 WILLOW CREEK DR STE 1
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City | WATERTOWN
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State | SD
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Zip | 57201-9150
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Country | US
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Telephone | 605-886-8650
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Fax | 605-886-8663
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Authorized Official
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Title or Position | OWNER
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Name | DR. RYAN LYLE BOIKE
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Credential | DC
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Telephone | 320-226-0525
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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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