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NPI 1639700255

NPI 1639700255 : KALLI PARIS CHIROPRACTOR LLC : NORTH CANTON, OH

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General NPI Number Information
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    NPI Number           |    1639700255
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    Entity Type          |    Organization 
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    Legal Business Name  |    KALLI PARIS CHIROPRACTOR LLC 
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Dates
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    Enumeration Date     |    02/02/2020
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    Last Update Date     |    12/10/2020
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Provider Practice Location Address
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    Address Line         |    1111 S MAIN ST 
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    City                 |    NORTH CANTON
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    State                |    OH
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    Zip                  |    44720-3601
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    Country              |    US
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    Telephone            |    234-203-1105
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1111 S MAIN ST 
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    City                 |    NORTH CANTON
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    State                |    OH
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    Zip                  |    44720-3601
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    Country              |    US
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    Telephone            |    234-203-1105
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/DOCTOR
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    Name                 |    DR. KALLI  PARIS 
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    Credential           |    DC
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    Telephone            |    740-350-5163
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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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