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General NPI Number Information
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NPI Number | 1841014982
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Entity Type | Organization
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Legal Business Name | SPINEALIGN CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 2210 RAPIDS DR
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City | RACINE
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State | WI
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Zip | 53404-2050
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Country | US
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Telephone | 262-321-5518
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Fax |
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Provider Business Mailing Address
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Address Line | 7505 OLD SPRING ST
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City | MOUNT PLEASANT
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State | WI
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Zip | 53406-3312
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Country | US
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Telephone | 262-902-5178
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | ALEXANDRA BUHLER
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Credential | DC
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Telephone | 262-902-5178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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