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General NPI Number Information
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NPI Number | 1558752378
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Entity Type | Organization
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Legal Business Name | ALIGN COLUMBUS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/16/2015
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 624 3RD ST
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City | COLUMBUS
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State | IN
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Zip | 47201-6811
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Country | US
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Telephone | 812-799-1568
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Fax | 812-379-8070
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Provider Business Mailing Address
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Address Line | 624 3RD ST
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City | COLUMBUS
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State | IN
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Zip | 47201-6811
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Country | US
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Telephone | 812-799-1568
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Fax | 812-379-8070
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATHLEEN TRIPLETT INMAN
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Credential | D.C.
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Telephone | 812-799-1568
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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 | 08002826A
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License Number State | IN
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