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General NPI Number Information
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NPI Number | 1699260406
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Entity Type | Organization
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Legal Business Name | CARROLL COUNTY CHIROPRACTIC AND REHABILITATION LLC
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1302 HIGHLAND AVE STE A
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City | CARROLLTON
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State | KY
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Zip | 41008-3000
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Country | US
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Telephone | 502-519-0000
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Fax | 502-662-2309
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Provider Business Mailing Address
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Address Line | 1302 HIGHLAND AVE STE A
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City | CARROLLTON
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State | KY
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Zip | 41008-3000
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Country | US
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Telephone | 502-519-0000
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Fax | 502-662-0519
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. BRETT T GIBSON
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Credential | DC
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Telephone | 502-519-0000
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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 |
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License Number State |
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