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General NPI Number Information
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NPI Number | 1750700555
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Entity Type | Organization
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Legal Business Name | STRONGSVILLE CHIROPRACTIC NEUROLOGY LLC
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 12481 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-3414
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Country | US
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Telephone | 440-878-4357
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Fax | 440-878-8702
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Provider Business Mailing Address
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Address Line | 12481 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-3414
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Country | US
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Telephone | 440-878-4357
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Fax | 440-878-8702
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Authorized Official
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Title or Position | OWNER
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Name | DR. VINCENT M SIMOKOVICH
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Credential | DC
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Telephone | 440-878-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 1763
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License Number State | OH
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