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General NPI Number Information
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NPI Number | 1255587267
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Entity Type | Organization
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Legal Business Name | ABOUT LIFE CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 08/09/2008
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 9845 E 116TH ST STE 300
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City | FISHERS
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State | IN
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Zip | 46037-9236
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Country | US
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Telephone | 317-913-1812
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Fax | 317-913-1768
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Provider Business Mailing Address
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Address Line | 9845 E 116TH ST STE 300
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City | FISHERS
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State | IN
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Zip | 46037-9236
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Country | US
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Telephone | 317-913-1812
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Fax | 317-913-1768
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIE CARLETON
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Credential | D.C.
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Telephone | 317-913-1812
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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 | 08002016A
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License Number State | IN
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