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NPI 1780817114

NPI 1780817114 : ANTHONY RUMP DC LLC : OTTAWA, OH

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General NPI Number Information
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    NPI Number           |    1780817114
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANTHONY RUMP DC LLC 
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Dates
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    Enumeration Date     |    09/02/2009
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    Last Update Date     |    09/02/2009
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Provider Practice Location Address
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    Address Line         |    1502 N PERRY ST 
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    City                 |    OTTAWA
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    State                |    OH
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    Zip                  |    45875-1167
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    Country              |    US
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    Telephone            |    419-523-4898
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    Fax                  |    888-230-4551
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Provider Business Mailing Address
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    Address Line         |    1502 N PERRY ST 
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    City                 |    OTTAWA
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    State                |    OH
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    Zip                  |    45875-1167
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    Country              |    US
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    Telephone            |    419-523-4898
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    Fax                  |    888-230-4551
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ANTHONY G RUMP 
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    Credential           |    DC
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    Telephone            |    419-523-4898
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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       |    1682
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    License Number State |    OH
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