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General NPI Number Information
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NPI Number | 1235258781
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Entity Type | Organization
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Legal Business Name | LC CHIROPRACTIC PC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8483 FISHERS CENTER DR
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City | FISHERS
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State | IN
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Zip | 46038-2318
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Country | US
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Telephone | 317-576-9620
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Fax | 317-576-9621
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Provider Business Mailing Address
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Address Line | 8483 FISHERS CENTER DR
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City | FISHERS
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State | IN
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Zip | 46038-2318
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Country | US
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Telephone | 317-576-9620
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Fax | 317-576-9621
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC J LEDFORD
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Credential | DC
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Telephone | 317-576-9620
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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 |
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License Number State |
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