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General NPI Number Information
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NPI Number | 1427247048
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Entity Type | Organization
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Legal Business Name | PELTIER FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 5685 SHULL RD
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-1203
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Country | US
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Telephone | 937-236-0464
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Fax | 937-236-0493
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Provider Business Mailing Address
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Address Line | 5685 SHULL RD
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-1203
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Country | US
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Telephone | 937-236-0464
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Fax | 937-236-0493
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Authorized Official
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Title or Position | D.C.
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Name | DR. WILLIAM B PELTIER
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Credential |
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Telephone | 937-236-0464
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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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