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General NPI Number Information
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NPI Number | 1548902448
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Entity Type | Organization
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Legal Business Name | FAMILY CHIROPRACTIC CENTER OF BELLEFONTAINE LLC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 412 E COLUMBUS AVE
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-2004
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Country | US
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Telephone | 419-302-2412
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Fax | 937-688-3534
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Provider Business Mailing Address
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Address Line | 412 E COLUMBUS AVE
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-2004
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Country | US
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Telephone | 419-302-2412
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Fax | 937-688-3534
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT C KAYATIN
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Credential | DC
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Telephone | 937-593-7711
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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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