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General NPI Number Information
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NPI Number | 1467631283
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Entity Type | Organization
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Legal Business Name | GRUBBS FAMILY CHIROPRACTIC INC.
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 713 CANTON RD NW
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City | CARROLLTON
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State | OH
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Zip | 44615-9447
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Country | US
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Telephone | 330-627-4745
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Fax | 330-627-9767
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Provider Business Mailing Address
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Address Line | PO BOX 56
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City | CARROLLTON
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State | OH
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Zip | 44615-0056
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Country | US
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Telephone | 330-627-4745
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Fax | 330-627-9767
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. WILLIAM F. GRUBBS
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Credential | D.C.
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Telephone | 330-627-4745
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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 | 2687
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License Number State | OH
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