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General NPI Number Information
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NPI Number | 1912041609
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC REHAB CENTER, PC
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2255 JOHN F KENNEDY RD
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City | DUBUQUE
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State | IA
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Zip | 52002-2846
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Country | US
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Telephone | 563-582-4357
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Fax | 563-582-5718
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Provider Business Mailing Address
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Address Line | 2255 JOHN F KENNEDY RD
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City | DUBUQUE
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State | IA
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Zip | 52002-2846
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Country | US
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Telephone | 563-582-4357
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Fax | 563-582-5718
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TODD CHARLES SPURLING
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Credential | D.C.
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Telephone | 563-582-4357
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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 | A05293
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License Number State | IA
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