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General NPI Number Information
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NPI Number | 1447556741
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Entity Type | Organization
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Legal Business Name | DR CECIL CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 05/01/2018
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Provider Practice Location Address
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Address Line | 5000 E MARKET ST STE 8
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City | WARREN
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State | OH
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Zip | 44484-2259
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Country | US
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Telephone | 234-600-5089
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Fax | 234-600-5101
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Provider Business Mailing Address
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Address Line | 5000 E MARKET ST STE 8
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City | WARREN
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State | OH
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Zip | 44484-2259
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Country | US
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Telephone | 234-600-5089
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Fax | 234-600-5101
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Authorized Official
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Title or Position | MEMBER
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Name | DR. BRYAN E J CECIL
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Credential | DC
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Telephone | 234-600-5089
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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 | OH
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