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General NPI Number Information
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NPI Number | 1265614564
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Entity Type | Organization
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Legal Business Name | OXFORD CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 507 S COLLEGE AVE SUITE A
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City | OXFORD
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State | OH
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Zip | 45056-2211
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Country | US
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Telephone | 513-523-7118
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Fax | 513-524-2225
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Provider Business Mailing Address
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Address Line | 507 S COLLEGE AVE SUITE A
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City | OXFORD
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State | OH
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Zip | 45056-2211
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Country | US
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Telephone | 513-523-7118
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Fax | 513-524-2225
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Authorized Official
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Title or Position | TREASURER
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Name | MRS. DIANE BEARDEN ZIPKO
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Credential |
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Telephone | 513-523-7118
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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 | 1213
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License Number State | OH
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