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General NPI Number Information
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NPI Number | 1679872790
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Entity Type | Organization
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Legal Business Name | CARE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 2106 TRENTON RD STE A
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City | CLARKSVILLE
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State | TN
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Zip | 37040-1633
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Country | US
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Telephone | 931-647-7677
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Fax |
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Provider Business Mailing Address
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Address Line | 2106 TRENTON RD STE A
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City | CLARKSVILLE
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State | TN
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Zip | 37040-1633
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA LECKER
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Credential | DC
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Telephone | 814-594-6181
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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 | 2506
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License Number State | TN
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