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General NPI Number Information
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NPI Number | 1982238218
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Entity Type | Organization
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Legal Business Name | ACU-PLUS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 920 W 21ST ST STE 104
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City | SOUTH SIOUX CITY
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State | NE
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Zip | 68776-2653
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Country | US
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Telephone | 712-204-1608
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Fax |
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Provider Business Mailing Address
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Address Line | 929 CAMPBELL ST
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City | NORTH SIOUX CITY
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State | SD
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Zip | 57049-5493
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Country | US
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Telephone | 712-204-1608
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. TYLER ADAM PETERSON
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Credential | DC
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Telephone | 402-412-7587
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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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