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NPI 1871756502

NPI 1871756502 : LINDSAY MARIE WHALEY D.C. : NIAGARA, WI

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General NPI Number Information
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    NPI Number           |    1871756502
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSAY MARIE WHALEY D.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/02/2008
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    Last Update Date     |    04/19/2016
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Provider Practice Location Address
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    Address Line         |    621 WASHINGTON AVE 
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    City                 |    NIAGARA
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    State                |    WI
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    Zip                  |    54151-1213
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    Country              |    US
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    Telephone            |    715-251-4020
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    Fax                  |    715-251-0772
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Provider Business Mailing Address
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    Address Line         |    PO BOX 193 
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    City                 |    NIAGARA
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    State                |    WI
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    Zip                  |    54151-0193
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    Country              |    US
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    Telephone            |    715-251-4020
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    2301009435
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    5084-12
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    License Number State |    WI
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