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General NPI Number Information
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NPI Number | 1487834412
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Entity Type | Organization
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Legal Business Name | TRUMBULL COUNTY CHIROPRACTIC CLINIC INC.
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 260 NILES CORTLAND RD NE
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City | WARREN
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State | OH
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Zip | 44484-1938
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Country | US
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Telephone | 330-372-9000
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Fax | 330-856-3942
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Provider Business Mailing Address
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Address Line | 260 NILES CORTLAND RD NE
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City | WARREN
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State | OH
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Zip | 44484-1938
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Country | US
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Telephone | 330-372-9000
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Fax | 330-856-3942
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK A ENSMINGER
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Credential | D.C.
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Telephone | 330-372-9000
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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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