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General NPI Number Information
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NPI Number | 1730301904
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Entity Type | Organization
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Legal Business Name | HERITAGE CHIROPRACTIC HEALTH CENTER INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 2445 SOUTH LOCUST ST
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City | CANAL FULTON
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State | OH
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Zip | 44614
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Country | US
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Telephone | 330-854-4544
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Fax | 330-854-6571
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Provider Business Mailing Address
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Address Line | 2445 SOUTH LOCUST ST
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City | CANAL FULTON
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State | OH
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Zip | 44614
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Country | US
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Telephone | 330-854-4544
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Fax | 330-854-6571
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES EDWIN KNIGHT
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Credential | DC
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Telephone | 330-854-4544
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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 | 1298
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License Number State | OH
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