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NPI 1679363311

NPI 1679363311 : JADEN TERRELL STEEL DC : BOLIVAR, OH

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General NPI Number Information
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    NPI Number           |    1679363311
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    Entity Type          |    Individual 
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    Provider Name        |    JADEN TERRELL STEEL DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/07/2025
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    Last Update Date     |    05/07/2025
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Provider Practice Location Address
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    Address Line         |    387 EDGEBROOK RD NE 
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    City                 |    BOLIVAR
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    State                |    OH
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    Zip                  |    44612-8706
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    Country              |    US
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    Telephone            |    330-874-3545
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2843 STEEL RD NW 
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    City                 |    DOVER
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    State                |    OH
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    Zip                  |    44622-7436
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    Country              |    US
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    Telephone            |    330-691-1237
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    DC-05456
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    License Number State |    OH
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