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General NPI Number Information
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NPI Number | 1396326617
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Entity Type | Organization
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Legal Business Name | KIRTLAND CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 9181 CHILLICOTHE RD
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City | KIRTLAND
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State | OH
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Zip | 44094-9263
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Country | US
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Telephone | 440-744-9009
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Fax |
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Provider Business Mailing Address
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Address Line | 9181 CHILLICOTHE RD
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City | KIRTLAND
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State | OH
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Zip | 44094-9263
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Country | US
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Telephone | 440-744-9009
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EMILY BUTLER
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Credential | DC
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Telephone | 440-840-8357
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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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