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General NPI Number Information
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NPI Number | 1508953548
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Entity Type | Organization
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Legal Business Name | DAVID M KREUSCH DC CORP
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 JEFFERSON STREET
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City | ENGLEWOOD
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State | OH
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Zip | 45322
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Country | US
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Telephone | 937-836-3313
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Fax | 937-836-9693
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Provider Business Mailing Address
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Address Line | 5 JEFFERSON STREET
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City | ENGLEWOOD
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State | OH
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Zip | 45322
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Country | US
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Telephone | 937-836-3313
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Fax | 937-836-9693
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID M KREUSCH
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Credential | DC
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Telephone | 937-836-3313
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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 |
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