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NPI 1154674596

NPI 1154674596 : CAIN CHIROPRACTIC INC : NORTH CANTON, OH

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General NPI Number Information
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    NPI Number           |    1154674596
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAIN CHIROPRACTIC INC 
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Dates
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    Enumeration Date     |    10/23/2012
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    Last Update Date     |    10/31/2012
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Provider Practice Location Address
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    Address Line         |    6822 WHIPPLE AVE NW 
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    City                 |    NORTH CANTON
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    State                |    OH
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    Zip                  |    44720-7336
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    Country              |    US
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    Telephone            |    330-499-0147
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    Fax                  |    330-499-8148
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Provider Business Mailing Address
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    Address Line         |    6822 WHIPPLE AVE NW 
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    City                 |    NORTH CANTON
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    State                |    OH
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    Zip                  |    44720-7336
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    Country              |    US
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    Telephone            |    330-499-0147
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    Fax                  |    330-499-8148
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. MICHAEL D CAIN 
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    Credential           |    D.C.
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    Telephone            |    330-499-0147
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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       |    2810
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    License Number State |    OH
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