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General NPI Number Information
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NPI Number | 1003077884
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Entity Type | Organization
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Legal Business Name | NEEDLER CHIROPRACTIC INC
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 11010 STATE ROUTE 12
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City | COLUMBUS GROVE
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State | OH
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Zip | 45830-9287
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Country | US
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Telephone | 419-659-2176
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Fax | 419-659-2176
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Provider Business Mailing Address
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Address Line | 11010 STATE ROUTE 12 P. O. BOX 73
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City | COLUMBUS GROVE
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State | OH
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Zip | 45830-9287
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Country | US
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Telephone | 419-659-2176
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Fax | 419-659-2176
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Authorized Official
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Title or Position | OWNER
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Name | JOHN R NEEDLER
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Credential | D. C.
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Telephone | 419-659-2176
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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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