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General NPI Number Information
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NPI Number | 1487061594
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Entity Type | Organization
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Legal Business Name | EDEARINGER & KLINDT CHIROPRACTIC CARE CNETER
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 07/21/2014
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Provider Practice Location Address
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Address Line | 107 N 5TH ST
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City | BARDSTOWN
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State | KY
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Zip | 40004-1401
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Country | US
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Telephone | 502-348-3202
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Fax | 502-348-0321
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Provider Business Mailing Address
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Address Line | 107 N. 5TH STREET
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City | BARDSTOWN
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State | KY
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Zip | 40004
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Country | US
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Telephone | 502-348-3202
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Fax | 502-348-0321
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Authorized Official
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Title or Position | PARTNER/OWNER
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Name | BARTLEY J KLINDT
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Credential | D.C.
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Telephone | 502-348-3202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4520
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License Number State |
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