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General NPI Number Information
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NPI Number | 1982899225
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Entity Type | Organization
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Legal Business Name | AUGHENBAUGH FAMILY CHIROPRACTIC CLINIC INC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 139 W RAILROAD ST
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City | EARLVILLE
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State | IL
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Zip | 60518-3119
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Country | US
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Telephone | 815-246-8611
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Fax | 815-246-8621
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Provider Business Mailing Address
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Address Line | PO BOX 174
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City | EARLVILLE
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State | IL
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Zip | 60518-0174
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Country | US
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Telephone | 815-246-8611
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Fax | 152-468-6218
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT D AUGHENBAUGH
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Credential | DC
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Telephone | 630-393-4114
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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 | 038008130
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License Number State | IL
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