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General NPI Number Information
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NPI Number | 1629375878
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Entity Type | Organization
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Legal Business Name | TDH INC
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 114 E MAIN ST
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City | MORGANFIELD
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State | KY
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Zip | 42437-1508
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Country | US
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Telephone | 270-389-9696
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Fax | 270-389-9691
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Provider Business Mailing Address
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Address Line | 114 E MAIN ST
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City | MORGANFIELD
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State | KY
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Zip | 42437-1508
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Country | US
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Telephone | 270-389-9696
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Fax | 270-389-9691
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERRY D HARMON
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Credential | DC
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Telephone | 270-389-9696
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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 |
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License Number State |
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