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General NPI Number Information
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NPI Number | 1154471407
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Entity Type | Organization
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Legal Business Name | GREENE FAMILY CHIROPRACTIC PRACTICE
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 721 S HIGH ST
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City | HILLSBORO
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State | OH
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Zip | 45133-1434
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Country | US
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Telephone | 937-840-9660
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Fax | 937-840-9669
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Provider Business Mailing Address
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Address Line | 721 S HIGH ST
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City | HILLSBORO
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State | OH
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Zip | 45133-1434
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Country | US
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Telephone | 937-840-9660
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Fax | 937-840-9669
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW A GREENE
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Credential | D.C., D.A.B.C.O.
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Telephone | 937-840-9660
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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 | 1507
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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 | 2832
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License Number State | OH
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