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General NPI Number Information
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NPI Number | 1164577334
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 641 E STATE ST
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City | ALLIANCE
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State | OH
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Zip | 44601-4913
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Country | US
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Telephone | 330-821-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 641 E STATE ST
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City | ALLIANCE
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State | OH
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Zip | 44601-4913
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Country | US
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Telephone | 330-821-4455
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICK GEORGE KOINOGLOU
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Credential | D.C., FIAMA, DIPL AC
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Telephone | 330-821-4455
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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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