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General NPI Number Information
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NPI Number | 1407942881
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Entity Type | Organization
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Legal Business Name | BELL FAMILY CHIROPRACTIC CLINIC PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 3030 STATE ROUTE 5
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City | CORTLAND
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State | OH
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Zip | 44410-9271
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Country | US
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Telephone | 330-637-2225
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Fax | 330-637-2226
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Provider Business Mailing Address
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Address Line | 2852 CADWALLADER SONK RD
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City | CORTLAND
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State | OH
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Zip | 44410-9411
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Country | US
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Telephone | 330-637-1256
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TODD WALDRON
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Credential | DC
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Telephone | 330-637-2225
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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 | 2680
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License Number State | OH
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