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General NPI Number Information
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NPI Number | 1609020635
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Entity Type | Organization
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Legal Business Name | SYNERGY CHIROPRACTIC, INC
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 1412 GLORIA TERRELL DR STE 4
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City | HIGHLAND HEIGHTS
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State | KY
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Zip | 41076-9102
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Country | US
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Telephone | 859-442-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 GLORIA TERRELL DRIVE SUITE 4
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City | WILDER
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State | KY
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Zip | 41076
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Country | US
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Telephone | 859-442-0999
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Fax |
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Authorized Official
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Title or Position | PART OWNER
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Name | DR. AARON W ORNBURN
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Credential | DC
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Telephone | 859-442-0999
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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 | 5136
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5137
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License Number State | KY
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