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General NPI Number Information
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NPI Number | 1427040690
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Entity Type | Individual
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Provider Name | JEFFRY GERARD MONNIN D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 430 4TH AVE
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City | SIDNEY
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State | OH
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Zip | 45365-1104
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Country | US
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Telephone | 937-498-4052
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Fax | 937-497-0371
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Provider Business Mailing Address
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Address Line | 430 4TH AVE
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City | SIDNEY
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State | OH
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Zip | 45365-1104
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Country | US
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Telephone | 937-498-4052
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Fax | 937-497-0371
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1367
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License Number State | OH
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