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General NPI Number Information
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NPI Number | 1831339522
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Entity Type | Individual
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Provider Name | JEFFREY ADAM SERGENT D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | W62N228 WASHINGTON AVE
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City | CEDARBURG
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State | WI
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Zip | 53012-2763
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Country | US
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Telephone | 262-546-4696
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Fax | 262-546-0757
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Provider Business Mailing Address
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Address Line | W62N228 WASHINGTON AVE
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City | CEDARBURG
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State | WI
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Zip | 53012-2763
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Country | US
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Telephone | 262-546-4696
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Fax | 262-546-0757
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4802-12
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301009543
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License Number State | MI
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