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General NPI Number Information
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NPI Number | 1427227495
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Entity Type | Organization
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Legal Business Name | BACKBONE OF HEALTH LLC
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 3985 MEDINA RD STE 220
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City | MEDINA
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State | OH
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Zip | 44256-5968
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Country | US
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Telephone | 330-764-3434
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Fax | 330-608-1773
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Provider Business Mailing Address
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Address Line | 3985 MEDINA RD STE 220
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City | MEDINA
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State | OH
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Zip | 44256-5968
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Country | US
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Telephone | 330-764-3434
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Fax | 330-608-1773
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY MARTIN WEEKS
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Credential | D.C.
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Telephone | 330-764-3434
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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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