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General NPI Number Information
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NPI Number | 1780710053
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Entity Type | Organization
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Legal Business Name | PELTIER CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 355 BARKS RD E
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City | MARION
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State | OH
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Zip | 43302-6511
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Country | US
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Telephone | 740-389-3330
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Fax | 740-389-6880
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Provider Business Mailing Address
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Address Line | 355 BARKS RD E
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City | MARION
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State | OH
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Zip | 43302-6511
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Country | US
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Telephone | 740-389-3330
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Fax | 740-389-6880
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DAVID PELTIER
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Credential | D,C.
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Telephone | 740-389-3330
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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 | 1614
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License Number State | OH
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