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NPI 1538265798

NPI 1538265798 : PAUL D. RALPH, D.C. PLLC : SHEPHERDSVILLE, KY

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General NPI Number Information
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    NPI Number           |    1538265798
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    Entity Type          |    Organization 
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    Legal Business Name  |    PAUL D. RALPH, D.C. PLLC 
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Dates
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    Enumeration Date     |    09/15/2006
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    Last Update Date     |    10/17/2007
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Provider Practice Location Address
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    Address Line         |    815 JOHN HARPER HWY. SUITE 10
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    City                 |    SHEPHERDSVILLE
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    State                |    KY
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    Zip                  |    40165-7463
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    Country              |    US
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    Telephone            |    502-955-1449
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    Fax                  |    502-955-1471
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Provider Business Mailing Address
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    Address Line         |    815 JOHN HARPER HWY. SUITE 10
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    City                 |    SHEPHERDSVILLE
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    State                |    KY
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    Zip                  |    40165-7463
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    Country              |    US
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    Telephone            |    502-955-1449
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    Fax                  |    502-955-1471
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Authorized Official
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    Title or Position    |    OWNER/CHIROPRACTOR
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    Name                 |    DR. PAUL D RALPH 
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    Credential           |    D.C.
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    Telephone            |    502-955-1449
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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       |    4323
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    License Number State |    KY
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