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General NPI Number Information
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NPI Number | 1770889149
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Entity Type | Organization
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Legal Business Name | LIVE WELL CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 02/02/2011
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Last Update Date | 07/05/2021
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Provider Practice Location Address
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Address Line | 6860 TYLERSVILLE RD STE 1
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City | MASON
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State | OH
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Zip | 45040-1236
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Country | US
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Telephone | 513-285-7482
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Fax | 513-285-7483
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Provider Business Mailing Address
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Address Line | 6860 TYLERSVILLE RD STE 1
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City | MASON
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State | OH
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Zip | 45040-1236
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Country | US
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Telephone | 513-285-7482
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. KIMBERLY ANN MUHLENKAMP
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Credential | D.C.
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Telephone | 513-907-6655
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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 | 4152
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License Number State | OH
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