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General NPI Number Information
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NPI Number | 1659813723
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Entity Type | Organization
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Legal Business Name | TAYLOR COUNTY CHIROPRACTIC AND REHABILITATION LLC
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 100 GREENBRIAR DR
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City | CAMPBELLSVILLE
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State | KY
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Zip | 42718-9613
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Country | US
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Telephone | 502-962-2277
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Fax | 502-962-1001
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Provider Business Mailing Address
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Address Line | 100 GREENBRIAR DR
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City | CAMPBELLSVILLE
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State | KY
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Zip | 42718-9613
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO OWNER
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Name | MASSIMO BIANCO
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Credential | DC
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Telephone | 502-962-2277
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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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