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General NPI Number Information
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NPI Number | 1033249727
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Entity Type | Organization
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Legal Business Name | CARROLLTON CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 559 CANTON RD NW
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City | CARROLLTON
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State | OH
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Zip | 44615-8426
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Country | US
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Telephone | 330-627-7611
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Fax | 330-627-6773
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Provider Business Mailing Address
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Address Line | 559 CANTON RD NW
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City | CARROLLTON
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State | OH
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Zip | 44615-8426
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Country | US
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Telephone | 330-627-7611
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Fax | 330-627-6773
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Authorized Official
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Title or Position | OWNER
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Name | DR. LOWELL B MYERS II
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Credential | D.C.
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Telephone | 330-627-7611
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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 | 1875
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | OH819
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License Number State | OH
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