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General NPI Number Information
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NPI Number | 1982637641
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Entity Type | Organization
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Legal Business Name | UTECH CHIROPRACTIC CLINIC, LLC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 603 6TH AVE
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City | GRINNELL
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State | IA
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Zip | 50112-1942
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Country | US
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Telephone | 641-236-8988
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Fax | 641-236-8172
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Provider Business Mailing Address
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Address Line | 603 6TH AVE
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City | GRINNELL
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State | IA
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Zip | 50112-1942
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Country | US
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Telephone | 641-236-8988
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Fax | 641-236-8172
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHY UTECH
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Credential |
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Telephone | 641-236-8988
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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 | IA
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