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General NPI Number Information
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NPI Number | 1831495019
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Entity Type | Organization
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Legal Business Name | GRIESS CHIROPRACTIC AND WELLNESS CENTER, P.C.
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Dates
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Enumeration Date | 02/04/2011
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 207 S 16TH ST STE A
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City | AURORA
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State | NE
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Zip | 68818-3034
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Country | US
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Telephone | 402-694-0181
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Fax | 402-694-0182
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Provider Business Mailing Address
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Address Line | 207 S 16TH ST STE A
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City | AURORA
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State | NE
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Zip | 68818-3034
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Country | US
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Telephone | 402-694-0181
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Fax | 402-694-0182
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUKAS EUGENE GRIESS
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Credential | D.C.
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Telephone | 402-469-3710
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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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