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General NPI Number Information
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NPI Number | 1669720132
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Entity Type | Organization
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Legal Business Name | WARVEL CHIROPRACTIC INC
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 09/19/2012
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Provider Practice Location Address
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Address Line | 1015 S A ST
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City | RICHMOND
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State | IN
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Zip | 47374-5523
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Country | US
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Telephone | 765-983-2225
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Fax | 765-983-2223
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Provider Business Mailing Address
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Address Line | 1015 S A ST
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City | RICHMOND
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State | IN
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Zip | 47374-5523
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Country | US
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Telephone | 765-983-2225
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Fax | 765-983-2223
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. BRENT WARVEL
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Credential | D.O.
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Telephone | 765-983-2225
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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 | 08001925A
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License Number State | IN
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