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General NPI Number Information
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NPI Number | 1548652308
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Entity Type | Organization
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Legal Business Name | CENTER FOR COLLABORATIVE MEDICINE INC
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 6425 DIXIE HWY
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City | FLORENCE
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State | KY
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Zip | 41042-2101
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Country | US
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Telephone | 859-282-0431
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Fax | 859-282-1482
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Provider Business Mailing Address
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Address Line | 6425 DIXIE HWY
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City | FLORENCE
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State | KY
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Zip | 41042-2101
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Country | US
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Telephone | 859-282-0431
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Fax | 859-282-1482
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | REBECCA SINGH
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Credential |
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Telephone | 859-282-0431
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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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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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