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General NPI Number Information
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NPI Number | 1124211396
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Entity Type | Individual
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Provider Name | MERLE STEVIN AUCK D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 3610 MARKET ST
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City | YOUNGSTOWN
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State | OH
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Zip | 44507-2012
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Country | US
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Telephone | 330-783-3000
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Fax | 330-783-3998
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Provider Business Mailing Address
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Address Line | 111 JENNETTE DR
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City | BOARDMAN
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State | OH
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Zip | 44512-1548
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Country | US
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Telephone | 330-519-3041
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Fax | 330-788-0682
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2350
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License Number State | OH
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