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General NPI Number Information
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NPI Number | 1972794022
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Entity Type | Individual
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Provider Name | NATHAN DANIEL DELOREY D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1488 MID VALLEY DR
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City | DE PERE
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State | WI
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Zip | 54115-9501
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Country | US
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Telephone | 920-965-6600
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Fax | 920-965-6601
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Provider Business Mailing Address
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Address Line | 1488 MID VALLEY DR
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City | DE PERE
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State | WI
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Zip | 54115-9501
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Country | US
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Telephone | 920-965-6600
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Fax | 920-965-6601
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3678-012
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License Number State | WI
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