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General NPI Number Information
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NPI Number | 1992571731
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Entity Type | Individual
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Provider Name | BENJAMIN AMREIN DC
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Gender | Male
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 7606 HARWOOD AVE
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City | WAUWATOSA
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State | WI
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Zip | 53213-2609
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Country | US
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Telephone | 414-263-3066
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Fax |
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Provider Business Mailing Address
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Address Line | 10902 75TH ST APT 107
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City | KENOSHA
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State | WI
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Zip | 53142-8396
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Country | US
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Telephone |
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Fax |
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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 | 6132-12
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License Number State | WI
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