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General NPI Number Information
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NPI Number | 1841516549
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Entity Type | Organization
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Legal Business Name | FLASKEY CHIROPRACTIC
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | 1722 6TH ST
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City | BROOKINGS
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State | SD
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Zip | 57006-2329
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Country | US
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Telephone | 605-692-2281
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Fax | 605-692-2285
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Provider Business Mailing Address
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Address Line | 1722 6TH ST
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City | BROOKINGS
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State | SD
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Zip | 57006-2329
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Country | US
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Telephone | 605-692-2281
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Fax | 605-692-2285
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. JASON SCOTT FLASKEY
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Credential | DC
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Telephone | 605-692-2281
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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 | 1134
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License Number State | SD
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