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NPI 1508096272

NPI 1508096272 : ERLANGER CHIROPRACTIC, PSC : ERLANGER, KY

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General NPI Number Information
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    NPI Number           |    1508096272
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    Entity Type          |    Organization 
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    Legal Business Name  |    ERLANGER CHIROPRACTIC, PSC 
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Dates
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    Enumeration Date     |    07/16/2009
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    Last Update Date     |    01/26/2010
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Provider Practice Location Address
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    Address Line         |    4224 DIXIE HWY SUITE 300
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    City                 |    ERLANGER
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    State                |    KY
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    Zip                  |    41018-4032
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    Country              |    US
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    Telephone            |    859-342-4444
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    Fax                  |    859-342-4209
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Provider Business Mailing Address
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    Address Line         |    4224 DIXIE HWY SUITE 300
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    City                 |    ERLANGER
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    State                |    KY
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    Zip                  |    41018-4032
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    Country              |    US
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    Telephone            |    859-342-4444
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    Fax                  |    859-342-4209
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. NANCI ALLEN LEE 
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    Credential           |    D.C.
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    Telephone            |    859-342-4444
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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       |    4400
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    License Number State |    KY
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