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NPI 1790921187

NPI 1790921187 : GREGORY ALLEN COX DC : LIGONIER, IN

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General NPI Number Information
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    NPI Number           |    1790921187
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    Entity Type          |    Individual 
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    Provider Name        |    GREGORY ALLEN COX DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/06/2009
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    Last Update Date     |    01/06/2009
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Provider Practice Location Address
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    Address Line         |    8018 W 1000 N 
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    City                 |    LIGONIER
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    State                |    IN
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    Zip                  |    46767-9797
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    Country              |    US
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    Telephone            |    260-894-7490
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    Fax                  |    260-894-7455
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Provider Business Mailing Address
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    Address Line         |    8018 W 1000 N 
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    City                 |    LIGONIER
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    State                |    IN
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    Zip                  |    46767-9797
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    Country              |    US
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    Telephone            |    260-894-7490
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    Fax                  |    260-894-7455
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    08000918A
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    License Number State |    IN
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