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General NPI Number Information
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NPI Number | 1720205974
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Entity Type | Organization
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Legal Business Name | ZADOK CORPORATION
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 2199 SUNSET BLVD SUITE C & D
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City | STEUBENVILLE
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State | OH
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Zip | 43952-1298
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Country | US
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Telephone | 740-266-6622
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Fax | 740-266-6453
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Provider Business Mailing Address
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Address Line | 2199 SUNSET BLVD SUITE C & D
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City | STEUBENVILLE
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State | OH
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Zip | 43952-1298
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Country | US
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Telephone | 740-266-6622
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Fax | 740-266-6453
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL ROSS
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Credential | DC
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Telephone | 740-266-6622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC.3450
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License Number State | OH
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