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General NPI Number Information
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NPI Number | 1578835708
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Entity Type | Organization
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Legal Business Name | JASON T. COE D.C. LLC
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 22 YOUNGSTOWN WARREN RD
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City | NILES
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State | OH
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Zip | 44446-4564
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Country | US
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Telephone | 330-544-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 22 YOUNGSTOWN WARREN RD
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City | NILES
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State | OH
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Zip | 44446-4564
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Country | US
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Telephone | 330-544-2225
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Fax |
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Authorized Official
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Title or Position | CHIROPRACITC PHYSICIAN
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Name | DR. JASON T. COE
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Credential | D.C.
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Telephone | 330-469-4411
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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 | 4242
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License Number State | OH
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