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General NPI Number Information
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NPI Number | 1093022907
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Entity Type | Organization
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Legal Business Name | PURE HEALTH INC
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 26300 EUCLID AVE SUITE 632
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City | EUCLID
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State | OH
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Zip | 44132-3708
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Country | US
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Telephone | 216-289-6970
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Fax |
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Provider Business Mailing Address
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Address Line | 26300 EUCLID AVE SUITE 632
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City | EUCLID
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State | OH
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Zip | 44132-3708
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Country | US
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Telephone | 216-289-6970
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAYNA NEVAR
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Credential | D.C
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Telephone | 216-289-6970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 3816
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License Number State | OH
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