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General NPI Number Information
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NPI Number | 1669619995
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Entity Type | Organization
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Legal Business Name | BRICKNER CHIROPRACTIC HEALTH CENTER, INC.
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 20 ROYAL DR
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City | SPRINGBORO
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State | OH
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Zip | 45066-1135
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Country | US
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Telephone | 937-748-4533
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Fax | 937-748-4599
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Provider Business Mailing Address
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Address Line | 20 ROYAL DR
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City | SPRINGBORO
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State | OH
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Zip | 45066-1135
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Country | US
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Telephone | 937-748-4533
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Fax | 937-748-4599
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DENNIS S BRICKNER
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Credential | D.C.
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Telephone | 937-748-4533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1497
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License Number State | OH
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