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General NPI Number Information
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NPI Number | 1457763393
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Entity Type | Organization
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Legal Business Name | FOUNDATION CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 6245 EMERALD PKWY
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City | DUBLIN
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State | OH
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Zip | 43016-3300
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Country | US
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Telephone | 937-726-9280
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Fax |
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Provider Business Mailing Address
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Address Line | 13213 HARDIN WAPAKONETA RD
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City | ANNA
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State | OH
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Zip | 45302-9690
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Country | US
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Telephone | 937-726-9280
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | MARIE HOYING
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Credential | D.C.
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Telephone | 937-726-9280
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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 | 4440
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License Number State | OH
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