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General NPI Number Information
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NPI Number | 1336326800
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Entity Type | Organization
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Legal Business Name | HEATON FAMILY CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 3995 BROADWAY STE 150
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City | GROVE CITY
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State | OH
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Zip | 43123-2639
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Country | US
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Telephone | 614-883-8100
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Fax | 614-883-8101
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Provider Business Mailing Address
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Address Line | 3995 BROADWAY STE 150
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City | GROVE CITY
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State | OH
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Zip | 43123-2639
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Country | US
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Telephone | 614-883-8100
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Fax | 614-883-8101
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES JOSEPH HEATON
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Credential | DC
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Telephone | 614-883-8100
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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 | 2366
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License Number State | OH
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