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General NPI Number Information
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NPI Number | 1457525784
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Entity Type | Organization
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Legal Business Name | ROSELAWN CHIROPRACTIC CENTER INC.
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 7733 READING RD
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City | CINCINNATI
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State | OH
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Zip | 45237-2142
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Country | US
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Telephone | 513-821-5757
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Fax | 513-679-4662
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Provider Business Mailing Address
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Address Line | 7733 READING RD
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City | CINCINNATI
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State | OH
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Zip | 45237-2142
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Country | US
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Telephone | 513-821-5757
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Fax | 513-679-4662
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN MICHEAL GULLA
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Credential |
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Telephone | 513-821-5757
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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 | 2107
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License Number State | OH
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