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General NPI Number Information
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NPI Number | 1922585371
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Entity Type | Organization
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Legal Business Name | ALGONA CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 07/27/2018
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Provider Practice Location Address
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Address Line | 112 S DODGE ST STE 1
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City | ALGONA
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State | IA
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Zip | 50511-2668
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Country | US
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Telephone | 515-295-9414
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Fax | 515-295-3407
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Provider Business Mailing Address
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Address Line | 112 S DODGE ST STE 1
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City | ALGONA
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State | IA
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Zip | 50511-2668
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Country | US
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Telephone | 515-295-9414
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Fax | 515-295-3407
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Authorized Official
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Title or Position | CHIROPRACTIC ASSISTANT
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Name | LINDSEY DEVINE
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Credential |
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Telephone | 515-295-9414
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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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