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General NPI Number Information
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NPI Number | 1174727465
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Entity Type | Organization
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Legal Business Name | COMPLETE CHIROPRACTIC OF COVINGTON
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 638 MAIN ST
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City | COVINGTON
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State | KY
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Zip | 41011-1653
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Country | US
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Telephone | 859-261-9261
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Fax | 859-261-9262
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Provider Business Mailing Address
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Address Line | 146 BURDSALL AVE
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City | FORT MITCHELL
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State | KY
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Zip | 41017-2826
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Country | US
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Telephone | 859-578-0825
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Fax |
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Authorized Official
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Title or Position | PRESIDENT - CHIROPRACTOR
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Name | DR. DEBRA KAY SAVIGNANO
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Credential | D.C.
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Telephone | 859-261-9261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 4320
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License Number State | KY
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