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General NPI Number Information
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NPI Number | 1477051548
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Entity Type | Individual
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Provider Name | DEREK RESSLER DC
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Gender | Male
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 1330 N MAIN ST STE M
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City | ORRVILLE
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State | OH
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Zip | 44667-9800
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Country | US
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Telephone | 330-749-9459
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Fax |
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Provider Business Mailing Address
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Address Line | 126 FAHRNEY ST
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City | DALTON
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State | OH
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Zip | 44618-9611
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Country | US
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Telephone | 330-749-9459
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC-04794
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License Number State | OH
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