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General NPI Number Information
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NPI Number | 1760662159
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Entity Type | Organization
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Legal Business Name | WILLIAM A. KENTRIS, D.C. INC
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 1665 TIFFIN AVE SUITE F
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City | FINDLAY
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State | OH
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Zip | 45840-6853
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Country | US
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Telephone | 419-423-2268
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Fax | 419-423-2088
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Provider Business Mailing Address
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Address Line | 1665 TIFFIN AVE SUITE F
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City | FINDLAY
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State | OH
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Zip | 45840-6853
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Country | US
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Telephone | 419-423-2268
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Fax | 419-423-2088
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Authorized Official
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Title or Position | CEO
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Name | DR. WILLIAM A KENTRIS
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Credential | D.C.
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Telephone | 419-423-2268
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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 | 1451
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License Number State | OH
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