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General NPI Number Information
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NPI Number | 1366024945
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Entity Type | Organization
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Legal Business Name | SAINT JOSEPH CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/23/2021
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 4102 SUNSET BLVD
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City | STEUBENVILLE
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State | OH
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Zip | 43952-3616
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Country | US
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Telephone | 740-283-3365
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Fax | 740-283-3375
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Provider Business Mailing Address
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Address Line | 4102 SUNSET BLVD
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City | STEUBENVILLE
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State | OH
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Zip | 43952-3616
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Country | US
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Telephone | 740-283-3365
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Fax | 740-283-3375
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Authorized Official
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Title or Position | OWNER
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Name | RYAN MARROW
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Credential | DC
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Telephone | 740-283-3365
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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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