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General NPI Number Information
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NPI Number | 1386849842
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Entity Type | Organization
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Legal Business Name | OHIO PIKE CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 1739 E OHIO PIKE
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City | AMELIA
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State | OH
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Zip | 45102-2007
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Country | US
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Telephone | 513-797-8262
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Fax |
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Provider Business Mailing Address
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Address Line | 1739 E OHIO PIKE
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City | AMELIA
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State | OH
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Zip | 45102-2007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PATRICK DANIEL WEADICK
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Credential | D.C.
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Telephone | 513-797-8262
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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 | 1654
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License Number State | OH
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