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General NPI Number Information
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NPI Number | 1699960682
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Entity Type | Organization
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Legal Business Name | HEALTH 1ST CHIROPRACTIC OF PLAINFIELD INC.
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 6326 RUCKER RD STE F
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-4861
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Country | US
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Telephone | 317-253-1644
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Fax | 317-253-9708
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Provider Business Mailing Address
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Address Line | 1660 E MAIN ST STE. 103
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City | PLAINFIELD
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State | IN
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Zip | 46168-2811
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Country | US
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Telephone | 317-839-6686
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Fax | 317-839-7247
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Authorized Official
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Title or Position | OWNER
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Name | DR. SOONG H AHN
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Credential | D.C.
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Telephone | 317-839-6686
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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 | 08002191A
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License Number State | IN
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