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General NPI Number Information
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NPI Number | 1023554474
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Entity Type | Organization
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Legal Business Name | VARCKETTE FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 01/10/2017
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 870 HIGH ST
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City | WORTHINGTON
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State | OH
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Zip | 43085-4139
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Country | US
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Telephone | 614-888-2225
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Fax | 614-847-1348
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Provider Business Mailing Address
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Address Line | 870 HIGH ST
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City | WORTHINGTON
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State | OH
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Zip | 43085-4139
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Country | US
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Telephone | 614-888-2225
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Fax | 614-847-1348
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. MARC VARCKETTE
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Credential | D.C.
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Telephone | 614-888-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3044
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License Number State | OH
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