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General NPI Number Information
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NPI Number | 1265906192
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Entity Type | Organization
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Legal Business Name | CORE CHIROPRACTIC AND FAMILY WELLNESS PLLC
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 05/01/2019
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Provider Practice Location Address
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Address Line | 524 E.SECOND ST
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City | LEXINGTON
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State | KY
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Zip | 40508
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Country | US
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Telephone | 859-268-7501
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Fax |
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Provider Business Mailing Address
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Address Line | 525 CORRAL ST
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City | LEXINGTON
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State | KY
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Zip | 40508-1963
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Country | US
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Telephone | 859-268-7501
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. THOMAS FOX JR.
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Credential | DC
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Telephone | 859-268-7501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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