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General NPI Number Information
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NPI Number | 1427179159
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Entity Type | Organization
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Legal Business Name | UPTOWN CHIROPRACTIC CLINIC PC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 827 S UNION ST STE 210
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City | WARSAW
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State | IN
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Zip | 46580-4703
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Country | US
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Telephone | 574-269-7726
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Fax |
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Provider Business Mailing Address
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Address Line | 827 S UNION ST STE 210
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City | WARSAW
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State | IN
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Zip | 46580-4703
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Country | US
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Telephone | 574-269-7726
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Fax | 574-269-7728
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Authorized Official
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Title or Position | PRES
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Name | ERICH C GRIFFITH
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Credential | D.C.
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Telephone | 574-269-7726
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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 | 08001580A
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License Number State | IN
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