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General NPI Number Information
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NPI Number | 1154298412
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Entity Type | Organization
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Legal Business Name | CLARIDGE CHIROPRACTIC
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 501 E 6TH ST
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City | HUNTINGBURG
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State | IN
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Zip | 47542-1008
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Country | US
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Telephone | 812-683-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 9424 S COUNTY ROAD 400 E
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City | STENDAL
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State | IN
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Zip | 47585-8955
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Country | US
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Telephone | 812-789-3374
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Fax |
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Authorized Official
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Title or Position | OWNER / CHIROPRACTOR
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Name | DR. QUADE RYAN CLARIDGE
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Credential | DO
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Telephone | 812-789-3374
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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 |
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License Number State |
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