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General NPI Number Information
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NPI Number | 1720149842
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Entity Type | Organization
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Legal Business Name | ASTON CHIROPRACTIC BACK PAIN CENTER
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 2222 HIKES LN
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City | LOUISVILLE
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State | KY
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Zip | 40218-2204
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Country | US
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Telephone | 502-458-0000
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Fax | 502-458-2521
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Provider Business Mailing Address
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Address Line | 2222 HIKES LN
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City | LOUISVILLE
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State | KY
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Zip | 40218-2204
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Country | US
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Telephone | 502-458-0000
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Fax | 502-458-2521
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARTHUR FERNANDO ASTON III
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Credential | D.C., B.S.
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Telephone | 502-458-0000
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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 | KY
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