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General NPI Number Information
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NPI Number | 1679725865
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Entity Type | Individual
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Provider Name | JUDD BIRCH D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 927 WHEELING AVE SUITE 201
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City | CAMBRIDGE
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State | OH
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Zip | 43725-2340
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Country | US
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Telephone | 740-255-5427
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Fax | 740-255-5441
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Provider Business Mailing Address
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Address Line | 927 WHEELING AVE SUITE 201
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City | CAMBRIDGE
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State | OH
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Zip | 43725-2340
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Country | US
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Telephone | 740-255-5427
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Fax | 740-255-5441
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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 | 3872
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 32732
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License Number State | CA
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