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General NPI Number Information
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NPI Number | 1487642500
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Entity Type | Organization
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Legal Business Name | CELINA CHIROPRACTIC CARE INC
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 909 N MAIN ST STE B
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City | CELINA
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State | OH
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Zip | 45822-1010
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Country | US
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Telephone | 419-584-2225
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Fax | 419-584-1876
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Provider Business Mailing Address
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Address Line | 909 N MAIN ST STE B
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City | CELINA
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State | OH
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Zip | 45822-1010
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Country | US
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Telephone | 419-584-2225
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Fax | 419-584-1876
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LORENE MARIE LISHNESS
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Credential |
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Telephone | 419-657-6262
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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 |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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