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General NPI Number Information
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NPI Number | 1962296046
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Entity Type | Organization
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Legal Business Name | FACKLER ACQUISITION LLC
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 404 E COLLEGE ST STE 401
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City | IOWA CITY
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State | IA
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Zip | 52240-1856
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Country | US
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Telephone | 319-337-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 6 WELLESLEY WAY
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City | IOWA CITY
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State | IA
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Zip | 52245-3830
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Country | US
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Telephone | 319-621-5681
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ZACHARY W FACKLER
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Credential | DC
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Telephone | 319-621-5681
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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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