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General NPI Number Information
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NPI Number | 1154510469
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Entity Type | Organization
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Legal Business Name | ASHLAND CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 1182 TOWNSHIP ROAD 1175
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City | ASHLAND
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State | OH
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Zip | 44805-1977
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Country | US
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Telephone | 419-289-8592
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Fax | 419-289-5583
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Provider Business Mailing Address
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Address Line | 1182 TOWNSHIP ROAD 1175
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City | ASHLAND
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State | OH
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Zip | 44805-1977
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Country | US
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Telephone | 419-289-8592
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Fax | 419-289-5583
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT EUGENE BACHELDER
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Credential | D.C
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Telephone | 419-289-8592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 2283
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License Number State | OH
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