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General NPI Number Information
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NPI Number | 1134201973
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Entity Type | Organization
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Legal Business Name | RJF CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 415 GLENSPRINGS DR SUITE 305
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City | CINCINNATI
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State | OH
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Zip | 45246-2317
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Country | US
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Telephone | 513-851-8686
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Fax | 513-851-8786
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Provider Business Mailing Address
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Address Line | 415 GLENSPRINGS DR SUITE 305
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City | CINCINNATI
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State | OH
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Zip | 45246-2317
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Country | US
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Telephone | 513-851-8686
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Fax | 513-851-8786
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Authorized Official
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Title or Position | OWNER
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Name | RANDALL JON FICK
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Credential | DC., DABCO
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Telephone | 513-851-8686
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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 | 1182
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License Number State | OH
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