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General NPI Number Information
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NPI Number | 1730325952
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Entity Type | Organization
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Legal Business Name | SKYE CHIROPRACTIC AT BARDSTOWN ROAD, PLLC
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Dates
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Enumeration Date | 12/17/2008
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 2107 WEBBER AVE
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City | LOUISVILLE
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State | KY
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Zip | 40205-2110
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Country | US
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Telephone | 502-454-4441
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 219
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City | CORYDON
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State | IN
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Zip | 47112
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Country | US
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Telephone | 502-454-4441
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Fax | 812-734-0303
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Authorized Official
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Title or Position | OWNER
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Name | MISS RENEE A. TORNATORE
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Credential | D. C.
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Telephone | 502-767-9439
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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 |
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