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General NPI Number Information
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NPI Number | 1437620309
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC SPECIALISTS OF INDIANA, LLC
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 90 EXECUTIVE DR STE E2
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City | CARMEL
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State | IN
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Zip | 46032-2611
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Country | US
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Telephone | 765-828-1003
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Fax |
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Provider Business Mailing Address
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Address Line | 3961 GOLF BAG LN
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City | TERRE HAUTE
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State | IN
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Zip | 47802-8145
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Country | US
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Telephone | 812-887-4800
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DION SNIDER
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Credential | DC
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Telephone | 812-887-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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