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General NPI Number Information
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NPI Number | 1649318692
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Entity Type | Organization
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Legal Business Name | ATLAS CHIROPRACTIC INC.
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 650 N MAIN ST SUITE 212
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City | SOMERSET
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State | KY
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Zip | 42501-1432
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Country | US
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Telephone | 606-677-2579
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Fax | 606-677-9364
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Provider Business Mailing Address
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Address Line | 650 N MAIN ST SUITE 212
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City | SOMERSET
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State | KY
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Zip | 42501-1432
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Country | US
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Telephone | 606-677-2579
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Fax | 606-677-9364
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DANIELLE MARIE EGENHAUSER
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Credential |
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Telephone | 606-677-2579
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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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