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General NPI Number Information
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NPI Number | 1346426491
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Entity Type | Organization
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Legal Business Name | IRONTON HEALTH AND WELLNESS CORP
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 2113 S 7TH ST
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City | IRONTON
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State | OH
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Zip | 45638-2538
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Country | US
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Telephone | 740-533-0550
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Fax | 740-534-1111
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Provider Business Mailing Address
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Address Line | PO BOX 687
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City | IRONTON
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State | OH
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Zip | 45638-0687
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Country | US
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Telephone | 740-533-0550
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Fax | 740-534-1111
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. RICHARD E THOMPSON
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Credential | D.C.
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Telephone | 740-533-0550
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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 | 249
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License Number State | OH
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