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General NPI Number Information
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NPI Number | 1578717427
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Entity Type | Organization
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Legal Business Name | CENTER FOR SPINECARE AND NATURAL MEDICINE, LLC.
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 11/05/2008
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Provider Practice Location Address
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Address Line | 34820 CHARDON RD
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City | WILLOUGHBY
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State | OH
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Zip | 44094-9103
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Country | US
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Telephone | 440-944-4300
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Fax | 440-944-4302
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Provider Business Mailing Address
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Address Line | 34820 CHARDON RD
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City | WILLOUGHBY
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State | OH
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Zip | 44094-9103
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Country | US
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Telephone | 440-944-4300
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Fax | 440-944-4302
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN L. PALGUT
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Credential | D.C.
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Telephone | 440-944-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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