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General NPI Number Information
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NPI Number | 1336295179
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Entity Type | Individual
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Provider Name | GRETCHEN MARIE DYER D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 7588 CENTRAL PARKE BLVD SUITE 326
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City | MASON
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State | OH
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Zip | 45040-6856
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Country | US
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Telephone | 513-204-6910
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Fax | 513-204-6913
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Provider Business Mailing Address
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Address Line | 7588 CENTRAL PARKE BLVD SUITE 326
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City | MASON
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State | OH
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Zip | 45040-6856
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Country | US
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Telephone | 513-204-6910
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Fax | 513-204-6913
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3597
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License Number State | OH
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