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General NPI Number Information
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NPI Number | 1871259424
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Entity Type | Organization
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Legal Business Name | DAVIS CHIROPRACTIC OFFICE LLC
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 220 S MAIN ST
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City | ONIDA
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State | SD
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Zip | 57564
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Country | US
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Telephone | 605-290-3119
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 386
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City | ONIDA
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State | SD
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Zip | 57564-0386
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Country | US
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Telephone | 605-290-3119
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN J DAVIS
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Credential | DC
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Telephone | 605-290-3119
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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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