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General NPI Number Information
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NPI Number | 1902121627
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Entity Type | Organization
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Legal Business Name | PUGSCHIROPRACTIC PLLC
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 210 5TH ST
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City | DURANT
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State | IA
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Zip | 52747-9622
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Country | US
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Telephone | 563-505-6399
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Fax |
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Provider Business Mailing Address
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Address Line | 210 5TH ST
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City | DURANT
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State | IA
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Zip | 52747-9622
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Country | US
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Telephone | 563-505-6399
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | CHRISTINE JOHANNA ALBERY
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Credential | D.C.
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Telephone | 563-505-6399
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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 | 007256
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License Number State | IA
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