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General NPI Number Information
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NPI Number | 1912266818
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Entity Type | Organization
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Legal Business Name | DURSKI CHIROPRACTIC
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 14999 W BELOIT RD SUITE A
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City | NEW BERLIN
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State | WI
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Zip | 53151-7438
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Country | US
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Telephone | 414-525-1030
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Fax | 414-525-1070
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Provider Business Mailing Address
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Address Line | 14999 W BELOIT RD SUITE A
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City | NEW BERLIN
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State | WI
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Zip | 53151-7438
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Country | US
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Telephone | 414-525-1030
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Fax | 414-525-1070
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY N DURSKI
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Credential | D.C.S.C.
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Telephone | 414-525-1030
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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 |
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License Number State |
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