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General NPI Number Information
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NPI Number | 1447799176
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Entity Type | Organization
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Legal Business Name | R. GRANT GOODWIN, D.C,, INC
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 1 ELIZABETH PL 280
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City | DAYTON
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State | OH
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Zip | 45417-3445
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Country | US
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Telephone | 937-952-6567
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Fax | 937-660-4066
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Provider Business Mailing Address
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Address Line | 1115 BONNIEBROOK DR
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City | MIAMISBURG
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State | OH
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Zip | 45342-6406
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Country | US
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Telephone | 937-974-8879
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Fax | 937-660-4066
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT GRANT GOODWIN
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Credential | D.C.
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Telephone | 937-974-8879
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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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