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General NPI Number Information
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NPI Number | 1194301507
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Entity Type | Organization
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Legal Business Name | MEND CHIROPRACTIC AND WELLNESS, LLC
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 5701 N HIGH ST STE 4
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City | WORTHINGTON
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State | OH
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Zip | 43085-3973
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Country | US
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Telephone | 614-505-1065
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Fax |
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Provider Business Mailing Address
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Address Line | 323 E BEAUMONT RD
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City | COLUMBUS
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State | OH
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Zip | 43214-2103
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Country | US
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Telephone | 419-973-5250
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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. WENDY REICK
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Credential | DC
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Telephone | 419-973-5250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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