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General NPI Number Information
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NPI Number | 1881968683
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Entity Type | Individual
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Provider Name | LINDSEY R REITZNER D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/27/2012
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Last Update Date | 10/22/2012
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Provider Practice Location Address
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Address Line | 413 W VERONA AVE
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City | VERONA
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State | WI
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Zip | 53593-1318
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Country | US
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Telephone | 608-630-2645
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 930226
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City | VERONA
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State | WI
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Zip | 53593-0226
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Country | US
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Telephone | 608-630-2645
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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 | 4829-12
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License Number State | WI
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