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General NPI Number Information
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NPI Number | 1003065764
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Entity Type | Organization
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Legal Business Name | COVENY CHIROPRACTIC AND WELLNESS, LLC
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 3431 COMMERCE PKWY SUITE B
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City | WOOSTER
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State | OH
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Zip | 44691-7114
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Country | US
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Telephone | 330-345-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 3431 COMMERCE PKWY SUITE B
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City | WOOSTER
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State | OH
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Zip | 44691-7114
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Country | US
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Telephone | 330-345-1400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RACHEL MARIE COVENY
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Credential | D.C.
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Telephone | 330-345-5381
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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 | 3055
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License Number State | OH
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