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General NPI Number Information
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NPI Number | 1023331816
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Entity Type | Organization
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Legal Business Name | CANFIELD CHIROPRACTIC HEALTH CENTER, INC.
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 7240 GLENWOOD AVE STE 3
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City | BOARDMAN
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State | OH
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Zip | 44512-4800
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Country | US
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Telephone | 330-758-1717
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Fax | 330-758-1919
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Provider Business Mailing Address
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Address Line | 7240 GLENWOOD AVE STE 3
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City | BOARDMAN
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State | OH
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Zip | 44512-4800
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Country | US
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Telephone | 330-758-1717
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Fax | 330-758-1919
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL DANKOVICH
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Credential | D.C.
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Telephone | 330-758-1717
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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 | 1553
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License Number State | OH
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