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General NPI Number Information
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NPI Number | 1073818696
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Entity Type | Organization
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Legal Business Name | HARMONY CHIROPRACTIC AND WELLNESS LLC
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 553 E. STATE STREET
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City | ATHENS
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State | OH
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Zip | 45701
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Country | US
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Telephone | 740-592-4631
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Fax | 888-633-3789
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Provider Business Mailing Address
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Address Line | 553 E. STATE STREET
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City | ATHENS
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State | OH
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Zip | 45701
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Country | US
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Telephone | 740-592-4631
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Fax | 888-633-3789
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. KRISTINA M KENNEDY
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Credential | D.C.
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Telephone | 740-592-4631
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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 | 3793
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License Number State | OH
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