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General NPI Number Information
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NPI Number | 1780844415
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Entity Type | Organization
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Legal Business Name | ELLEN KRUMME
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 5770 GATEWAY SUITE103
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City | MASON
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State | OH
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Zip | 45040-1897
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Country | US
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Telephone | 513-204-0050
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Fax | 513-204-7960
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Provider Business Mailing Address
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Address Line | 5770 GATEWAY SUITE103
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City | MASON
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State | OH
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Zip | 45040-1897
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Country | US
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Telephone | 513-204-0050
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Fax | 513-204-7960
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELLEN B KRUMME
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Credential | DC
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Telephone | 513-204-0050
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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 | 2119
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License Number State | OH
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