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General NPI Number Information
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NPI Number | 1356486468
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Entity Type | Organization
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Legal Business Name | STOW-KENT CHIROPRACTIC CLINIC, INC.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2991 GRAHAM RD
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City | STOW
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State | OH
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Zip | 44224-3619
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Country | US
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Telephone | 330-686-1333
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Fax | 330-686-9275
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Provider Business Mailing Address
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Address Line | 2991 GRAHAM RD
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City | STOW
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State | OH
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Zip | 44224-3619
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Country | US
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Telephone | 330-686-1333
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Fax | 330-686-9275
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL A. SHIMMEL
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Credential | DOCTOR
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Telephone | 330-686-1333
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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 |
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License Number State |
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