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General NPI Number Information
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NPI Number | 1720009251
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Entity Type | Individual
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Provider Name | DEBORAH A ROSS DC
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 1218 5TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-2207
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Country | US
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Telephone | 304-525-1901
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Fax | 304-525-0277
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Provider Business Mailing Address
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Address Line | PO BOX 2408
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City | HUNTINGTON
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State | WV
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Zip | 25725-2408
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Country | US
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Telephone | 304-525-1901
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Fax | 304-525-0277
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 355
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License Number State | WV
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