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General NPI Number Information
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NPI Number | 1659595189
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Entity Type | Organization
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Legal Business Name | KRUEGER CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 726 E MAIN ST
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City | LEBANON
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State | OH
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Zip | 45036-1900
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Country | US
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Telephone | 513-933-9799
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Fax | 513-933-0866
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Provider Business Mailing Address
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Address Line | 726 E MAIN ST
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City | LEBANON
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State | OH
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Zip | 45036-1900
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Country | US
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Telephone | 513-933-9799
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Fax | 513-933-0866
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Authorized Official
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Title or Position | CHIROPRACTOR OWNER
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Name | DR. THOMAS GERALD KRUEGER
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Credential | D.C.
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Telephone | 513-933-9799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 1885
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License Number State | OH
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