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General NPI Number Information
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NPI Number | 1295835080
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 1048 ACE DR SUITE C
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City | BEREA
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State | KY
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Zip | 40403-1327
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Country | US
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Telephone | 859-985-0606
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Fax | 859-985-0052
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Provider Business Mailing Address
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Address Line | 1048 ACE DR
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City | BEREA
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State | KY
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Zip | 40403-2042
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Country | US
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Telephone | 859-985-0606
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Fax | 859-985-0052
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | BRENDA J. HUSER-TAYLOR
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Credential | D.C.
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Telephone | 859-985-0606
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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 | KY4733
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License Number State | KY
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