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General NPI Number Information
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NPI Number | 1396901443
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Entity Type | Organization
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Legal Business Name | NORTH RIDGE CHIROPRACTIC, INC
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 2106 NORTH RIDGE RD
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City | ELYRIA
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State | OH
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Zip | 44035-1241
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Country | US
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Telephone | 440-240-9390
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Fax | 440-240-9370
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Provider Business Mailing Address
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Address Line | 2106 NORTH RIDGE RD
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City | ELYRIA
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State | OH
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Zip | 44035-1241
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Country | US
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Telephone | 440-240-9390
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Fax | 440-240-9370
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN C STUDER
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Credential | DC
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Telephone | 440-240-9390
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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 | 3333
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License Number State | OH
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