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General NPI Number Information
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NPI Number | 1215198676
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Entity Type | Organization
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Legal Business Name | DRUMMOND CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 202 E TEMPERANCE ST
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City | ELLETTSVILLE
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State | IN
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Zip | 47429-1836
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Country | US
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Telephone | 812-876-5095
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Fax | 812-876-5094
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Provider Business Mailing Address
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Address Line | 202 E TEMPERANCE ST
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City | ELLETTSVILLE
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State | IN
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Zip | 47429-1836
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Country | US
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Telephone | 812-876-5095
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Fax | 812-876-5094
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. WILLIAMS DALLAS DRUMMOND
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Credential | D.C.
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Telephone | 812-876-5095
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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 | IN08001975A
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License Number State | IN
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