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General NPI Number Information
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NPI Number | 1013181106
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Entity Type | Organization
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Legal Business Name | KEARNS CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 2776 E 146TH STREET
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City | CARMEL
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State | IN
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Zip | 46033
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Country | US
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Telephone | 317-727-0278
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Fax |
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Provider Business Mailing Address
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Address Line | 2776 E 146TH STREET
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City | CARMEL
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State | IN
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Zip | 46033
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Country | US
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Telephone | 317-727-0278
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL KEARNS
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Credential | DC
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Telephone | 317-727-0278
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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 | 08002305A
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License Number State | IN
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