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General NPI Number Information
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NPI Number | 1790997682
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Entity Type | Organization
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Legal Business Name | THE CHIROPRACTIC HEALTH & WELLNESS CENTER OF DAYTON, INC.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2301 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45419-1513
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Country | US
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Telephone | 937-293-3052
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Fax | 937-293-1565
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Provider Business Mailing Address
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Address Line | 2301 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45419
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Country | US
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Telephone | 937-293-3052
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Fax | 937-293-1565
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK M PRIKKEL
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Credential | D.C.
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Telephone | 937-293-3052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 2660
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License Number State | OH
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