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General NPI Number Information
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NPI Number | 1538467931
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Entity Type | Organization
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Legal Business Name | BRAMBLE CHIROPRACTIC,PLLC
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 110 RICHIE LN STE. B
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City | SOMERSET
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State | KY
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Zip | 42503-6128
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Country | US
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Telephone | 606-679-1433
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Fax | 606-676-0433
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Provider Business Mailing Address
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Address Line | 110 RICHIE LN STE. B
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City | SOMERSET
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State | KY
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Zip | 42503-6128
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Country | US
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Telephone | 606-679-1433
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Fax | 606-676-0433
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. TODD ANDREW BRAMBLE
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Credential | D.C.
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Telephone | 606-679-1433
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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 | 4565
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License Number State | KY
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