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General NPI Number Information
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NPI Number | 1083808679
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Entity Type | Organization
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Legal Business Name | MERKLE CHIROPRACTIC INC.
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 5785 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45429-2207
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Country | US
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Telephone | 937-433-3241
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Fax | 937-439-0088
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Provider Business Mailing Address
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Address Line | 5785 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45429-2207
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Country | US
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Telephone | 937-433-3241
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Fax | 937-439-0088
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VAN D. MERKLE
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Credential | D.C.
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Telephone | 937-433-3241
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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 | 3682
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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 | 973
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License Number State | OH
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