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General NPI Number Information
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NPI Number | 1275794281
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Entity Type | Organization
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Legal Business Name | REILLY CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 777 MAIN ST
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City | MILFORD
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State | OH
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Zip | 45150-1786
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Country | US
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Telephone | 513-831-3800
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Fax | 513-831-3857
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Provider Business Mailing Address
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Address Line | 777 MAIN ST
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City | MILFORD
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State | OH
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Zip | 45150-1786
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Country | US
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Telephone | 513-831-3800
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Fax | 513-831-3857
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL JAMES REILLY
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Credential | DC
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Telephone | 513-831-3800
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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 | 1521
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License Number State | OH
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