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General NPI Number Information
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NPI Number | 1578610622
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Entity Type | Organization
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Legal Business Name | ELLIOTT CHIROPRACTIC INC.
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 161 PEARL ST
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City | JACKSON
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State | OH
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Zip | 45640-1746
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Country | US
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Telephone | 740-288-7246
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Fax | 740-286-5251
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Provider Business Mailing Address
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Address Line | 161 PEARL ST
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City | JACKSON
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State | OH
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Zip | 45640-1746
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Country | US
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Telephone | 740-288-7246
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Fax | 740-286-5251
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEBORAH ELLIOTT
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Credential | DC
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Telephone | 740-288-7246
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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 | 2841
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License Number State | OH
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