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General NPI Number Information
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NPI Number | 1164708202
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Entity Type | Organization
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Legal Business Name | GREENWOOD FAMILY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 520 N SR 135 SUITE R
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City | GREENWOOD
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State | IN
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Zip | 46142
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Country | US
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Telephone | 317-893-2853
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Fax |
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Provider Business Mailing Address
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Address Line | 520 N SR 135 SUITE R
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City | GREENWOOD
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State | IN
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Zip | 46142
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Country | US
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Telephone | 317-893-2853
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Fax | 317-893-2863
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEANNE SCHLUETER
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Credential | D.C.
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Telephone | 815-603-1814
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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 | 08002576A
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License Number State | IN
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