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General NPI Number Information
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NPI Number | 1619382546
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Entity Type | Organization
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Legal Business Name | AGGARWAL CHIROPRACTIC AND WELLNESS, LLC
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 1700 E MARKET ST STE 114
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City | WARREN
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State | OH
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Zip | 44483-6625
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Country | US
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Telephone | 330-978-8460
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Fax | 330-469-6997
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Provider Business Mailing Address
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Address Line | 1700 E MARKET ST STE 114
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City | WARREN
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State | OH
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Zip | 44483-6625
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Country | US
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Telephone | 330-978-8460
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Fax | 330-469-6997
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW STEPHEN AGGARWAL
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Credential | DC
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Telephone | 330-978-8460
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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 | 4376
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License Number State | OH
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