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General NPI Number Information
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NPI Number | 1508268640
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Entity Type | Organization
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Legal Business Name | BRANDT PIKE CHIROPRACTIC AND REHABILITATION CENTER, INC.
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 7460 BRANDT PIKE
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-3240
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Country | US
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Telephone | 937-567-7888
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Fax | 937-281-0666
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Provider Business Mailing Address
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Address Line | 7460 BRANDT PIKE
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-3240
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Country | US
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Telephone | 937-813-3801
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Fax | 937-281-0666
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN JOHNSON
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Credential |
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Telephone | 937-813-3801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number |
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License Number State |
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