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General NPI Number Information
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NPI Number | 1487936068
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Entity Type | Organization
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Legal Business Name | EATON CHIROPRACTIC & REHAB CENTER
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 12337 HANCOCK ST STE 17
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City | CARMEL
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State | IN
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Zip | 46032-5885
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Country | US
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Telephone | 317-594-2018
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Fax |
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Provider Business Mailing Address
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Address Line | 12337 HANCOCK ST STE 17
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City | CARMEL
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State | IN
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Zip | 46032-5885
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Country | US
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Telephone | 317-594-2018
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Fax | 317-620-8095
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Authorized Official
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Title or Position | OWNER
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Name | ABIGAIL EATON
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Credential | DC
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Telephone | 317-956-0760
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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 | 08002262A
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License Number State | IN
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