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General NPI Number Information
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NPI Number | 1659826931
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Entity Type | Organization
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Legal Business Name | THE CHIROPRACTIC PLACE
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 10000 AURORA HUDSON RD SUITE B
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City | HUDSON
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State | OH
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Zip | 44236
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Country | US
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Telephone | 234-380-5351
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Fax | 234-380-5710
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Provider Business Mailing Address
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Address Line | 10000 AURORA HUDSON RD SUITE B
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City | HUDSON
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State | OH
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Zip | 44236
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Country | US
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Telephone | 234-380-5351
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Fax | 234-380-5710
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Authorized Official
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Title or Position | PRESIDENT/OWNER/DR.
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Name | DR. JASON CERUTTI
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Credential | D.C.
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Telephone | 234-380-5351
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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 | 4479
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License Number State | OH
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