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General NPI Number Information
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NPI Number | 1740461490
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Entity Type | Organization
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Legal Business Name | BACK2HEALTH-PRINCETON, LLC
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Dates
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Enumeration Date | 11/23/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 107 N 1ST AVE
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City | PRINCETON
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State | IN
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Zip | 47670-1061
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Country | US
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Telephone | 812-385-5423
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Fax | 812-386-7338
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Provider Business Mailing Address
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Address Line | PO BOX 1255
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City | PRINCETON
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State | IN
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Zip | 47670-0955
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Country | US
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Telephone | 812-385-5423
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Fax | 812-386-7338
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Authorized Official
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Title or Position | OWNER
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Name | DR. RYAN PAUL ANDREWS
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Credential | D.C.
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Telephone | 812-385-5423
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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 | 08002018A
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License Number State | IN
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