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General NPI Number Information
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NPI Number | 1750565586
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Entity Type | Organization
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Legal Business Name | D. MICHAEL MCPEAK D.C., INC.
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 1101 CHESTNUT STREET
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City | COSHOCTON
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State | OH
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Zip | 43812
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Country | US
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Telephone | 740-622-3553
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Fax | 740-622-5270
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Provider Business Mailing Address
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Address Line | 1101 CHESTNUT ST
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City | COSHOCTON
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State | OH
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Zip | 43812-1323
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Country | US
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Telephone | 740-622-3553
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Fax | 740-622-5270
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANA MICHAEL MCPEAK
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Credential | D.C.
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Telephone | 740-622-3553
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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 | 2443
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1277
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 923
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License Number State | OH
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