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General NPI Number Information
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NPI Number | 1780425942
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Entity Type | Organization
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Legal Business Name | CLEAR CHIROPRACTIC FRANKFORT, LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 2003 E WABASH ST
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City | FRANKFORT
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State | IN
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Zip | 46041-2754
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Country | US
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Telephone | 765-654-4416
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Fax | 765-659-1178
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Provider Business Mailing Address
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Address Line | 2003 E WABASH ST
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City | FRANKFORT
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State | IN
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Zip | 46041-2754
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Country | US
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Telephone | 765-654-4416
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Fax | 765-659-1178
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Authorized Official
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Title or Position | OWNER
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Name | OAKLAND GAERKE
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Credential | DC
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Telephone | 260-726-3065
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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 |
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License Number State |
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