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General NPI Number Information
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NPI Number | 1871799221
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Entity Type | Organization
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Legal Business Name | LINCOLN DISC & NUTRITION CENTER
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 4535 NORMAL BLVD # 4
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City | LINCOLN
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State | NE
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Zip | 68506-5576
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Country | US
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Telephone | 402-488-2220
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Fax | 402-488-2227
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Provider Business Mailing Address
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Address Line | 3201 PIONEERS BLVD SUITE 104
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City | LINCOLN
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State | NE
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Zip | 68502-5963
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Country | US
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Telephone | 402-488-2220
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Fax | 402-488-2227
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KRIS CHRISTMAN
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Credential |
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Telephone | 402-488-2220
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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 | 731
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License Number State | GA
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