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General NPI Number Information
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NPI Number | 1649596412
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Entity Type | Organization
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Legal Business Name | BELDEN VILLAGE CHIROPRACTIC & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 4200 MUNSON ST NW STE B
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City | CANTON
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State | OH
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Zip | 44718-2981
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Country | US
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Telephone | 330-493-0009
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Fax | 330-493-6659
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Provider Business Mailing Address
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Address Line | 4200 MUNSON ST NW STE B
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City | CANTON
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State | OH
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Zip | 44718-2981
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Country | US
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Telephone | 330-493-0009
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Fax | 330-493-6659
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Authorized Official
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Title or Position | INSURANCE/BILLING MANAGER
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Name | ALEXIS KOERSCHNER
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Credential |
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Telephone | 330-493-0009
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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 | 1306
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License Number State | OH
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