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General NPI Number Information
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NPI Number | 1750898839
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Entity Type | Organization
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Legal Business Name | INNER HEALTH CHIROPRACTIC, INC
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 220 WEST BRIDGE INNER HEALTH CHIROPRACTIC
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City | DUBLIN
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State | OH
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Zip | 43017
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Country | US
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Telephone | 614-799-0700
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Fax | 614-799-0707
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Provider Business Mailing Address
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Address Line | 1201 SOUTH HIGH STREET
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City | COLUMBUS
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State | OH
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Zip | 43206
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Country | US
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Telephone | 614-444-5661
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Fax | 614-444-5662
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN HOUSE
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Credential |
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Telephone | 614-444-5661
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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 | 4507
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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 | 4418
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License Number State |
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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 | 2044
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License Number State | OH
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