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General NPI Number Information
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NPI Number | 1841301892
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Entity Type | Organization
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Legal Business Name | EASTERN IOWA CHIROPRACTIC CENTRE, PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 112 E WASHINGTON ST
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City | WASHINGTON
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State | IA
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Zip | 52353-2023
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Country | US
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Telephone | 319-653-6000
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Fax | 319-653-6115
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Provider Business Mailing Address
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Address Line | 112 E WASHINGTON ST
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City | WASHINGTON
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State | IA
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Zip | 52353-2023
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Country | US
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Telephone | 319-653-6000
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Fax | 319-653-6115
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TODD LYNN SALOW
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Credential | DC
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Telephone | 319-653-6000
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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 | A05625
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License Number State | IA
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