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General NPI Number Information
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NPI Number | 1386807634
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Entity Type | Organization
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Legal Business Name | OAKLEY CHIROPRACTIC CENTER PSC
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 212 THOMPSON POYNTER RD
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City | LONDON
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State | KY
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Zip | 40741-7238
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Country | US
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Telephone | 606-864-1444
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Fax | 606-864-1269
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Provider Business Mailing Address
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Address Line | PO BOX 1627
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City | LONDON
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State | KY
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Zip | 40743-1627
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Country | US
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Telephone | 606-864-1444
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Fax | 606-864-1269
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JOHNATHAN W OAKLEY
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Credential | D.C.
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Telephone | 606-864-1444
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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 | 4952
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License Number State | KY
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