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General NPI Number Information
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NPI Number | 1972356046
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Entity Type | Organization
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Legal Business Name | DJ CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 8300 OLD CHENEY RD STE B
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City | LINCOLN
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State | NE
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Zip | 68516-3540
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Country | US
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Telephone | 402-483-4646
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Fax | 402-483-4649
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Provider Business Mailing Address
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Address Line | 8300 OLD CHENEY RD STE B
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City | LINCOLN
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State | NE
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Zip | 68516-3540
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Country | US
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Telephone | 402-483-4646
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Fax | 402-483-4649
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DEVIN D JOHNSON
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Credential | DC
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Telephone | 308-383-1350
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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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