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General NPI Number Information
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NPI Number | 1558546457
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Entity Type | Organization
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Legal Business Name | CHEVALIER CHIROPRACTIC INC.
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 7257 FULTON DR NW SUITE 73
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City | CANTON
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State | OH
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Zip | 44718-3816
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Country | US
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Telephone | 330-834-1444
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Fax | 330-834-0444
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Provider Business Mailing Address
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Address Line | 7257 FULTON DR NW SUITE 73
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City | CANTON
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State | OH
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Zip | 44718-3816
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Country | US
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Telephone | 330-834-1444
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Fax | 330-834-0444
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Authorized Official
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Title or Position | C.E.O.
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Name | EDWARD R CHEVALIER JR.
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Credential | D.C.
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Telephone | 330-834-1444
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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 | 2232
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License Number State | OH
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