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General NPI Number Information
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NPI Number | 1326201518
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Entity Type | Organization
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Legal Business Name | TRENTON L JOHNS PLLC
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 9204 TAYLORSVILLE ROAD STE, 101
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City | LOUISVILLE
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State | KY
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Zip | 40299-1788
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Country | US
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Telephone | 502-267-3040
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Fax | 502-267-0415
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Provider Business Mailing Address
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Address Line | 9204 TAYLORSVILLE ROAD STE, 101
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City | LOUISVILLE
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State | KY
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Zip | 40299-1788
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Country | US
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Telephone | 502-267-3040
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Fax | 502-267-0415
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. TRENTON L JOHNS
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Credential | D.O.
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Telephone | 502-267-3040
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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 | 5120
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License Number State | KY
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