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General NPI Number Information
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NPI Number | 1649696246
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Entity Type | Individual
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Provider Name | JUSTINE KATHLEEN SCHEUHER D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2014
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 107 CRESCENT AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-1525
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Country | US
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Telephone | 502-493-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 8117 NEW LA GRANGE RD
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City | LOUISVILLE
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State | KY
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Zip | 40222-4637
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Country | US
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Telephone | 502-326-9950
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Fax | 502-326-9952
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5430
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License Number State | KY
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