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General NPI Number Information
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NPI Number | 1508044496
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Entity Type | Organization
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Legal Business Name | EHN FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 1853 MONMOUTH ST
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City | NEWPORT
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State | KY
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Zip | 41071-2637
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Country | US
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Telephone | 859-292-0123
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Fax | 859-292-0131
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Provider Business Mailing Address
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Address Line | 1853 MONMOUTH ST
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City | NEWPORT
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State | KY
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Zip | 41071-2637
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Country | US
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Telephone | 859-292-0123
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Fax | 859-292-0131
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. TIMOTHY EHN
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Credential | D.C
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Telephone | 859-292-0123
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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 | 4647
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License Number State | KY
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