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General NPI Number Information
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NPI Number | 1073818738
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Entity Type | Organization
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Legal Business Name | BACK IN BALANCE CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 18 N BOEKE RD
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City | EVANSVILLE
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State | IN
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Zip | 47711-6014
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Country | US
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Telephone | 812-477-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 18 N BOEKE RD
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City | EVANSVILLE
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State | IN
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Zip | 47711-6014
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Country | US
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Telephone | 812-477-6200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | J BROCK FALCONER
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Credential | D.C.
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Telephone | 812-477-6200
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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 | 08002389A
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License Number State | IN
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