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General NPI Number Information
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NPI Number | 1184254757
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Entity Type | Individual
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Provider Name | RONALD CORBIN CRITZ DC
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Gender | Male
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 311 ELM ST
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City | CINCINNATI
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State | OH
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Zip | 45202-2736
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Country | US
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Telephone | 513-999-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 639 OAK ST
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City | NEWPORT
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State | KY
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Zip | 41071-2051
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Country | US
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Telephone | 706-799-1112
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 265604
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4521
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC-05070
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License Number State | OH
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