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General NPI Number Information
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NPI Number | 1841569035
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Entity Type | Organization
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Legal Business Name | SALLANS CHIROPRACTIC CLINIC PC
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 02/06/2012
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Provider Practice Location Address
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Address Line | 919 16TH ST
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City | AURORA
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State | NE
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Zip | 68818-2433
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Country | US
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Telephone | 402-694-6565
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Fax | 402-694-3563
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Provider Business Mailing Address
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Address Line | 919 16TH ST P.O. BOX 346
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City | AURORA
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State | NE
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Zip | 68818-2433
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Country | US
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Telephone | 402-694-6565
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Fax | 402-694-3563
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY NEAL SALLANS
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Credential | DC
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Telephone | 402-694-6565
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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 | 1162
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License Number State | NE
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