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General NPI Number Information
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NPI Number | 1194795682
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Entity Type | Individual
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Provider Name | JOHN THOMAS RATUSNY D.C., C.C.E.P.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 1830 DESTINY LANE SUITE 110
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City | BOWLING GREEN
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State | KY
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Zip | 42104-1088
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Country | US
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Telephone | 703-060-3172
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Fax |
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Provider Business Mailing Address
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Address Line | 165 GREYROCK DRIVE
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City | BOWLING GREEN
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State | KY
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Zip | 42101
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Country | US
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Telephone | 703-060-3172
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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 | 14207
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License Number State | TX
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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 | 08003175A
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License Number State | IN
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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 | 248960
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License Number State | KY
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