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General NPI Number Information
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NPI Number | 1801594155
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Entity Type | Organization
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Legal Business Name | J CLAYTON SPINE AND HEALTH LLC
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 905 W KEEGANS WAY STE 7
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City | GREENSBURG
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State | IN
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Zip | 47240-3403
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Country | US
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Telephone | 812-663-7640
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Fax | 812-662-6356
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Provider Business Mailing Address
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Address Line | 905 W KEEGANS WAY STE 7
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City | GREENSBURG
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State | IN
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Zip | 47240-3403
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Country | US
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Telephone | 812-663-7640
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Fax | 812-662-6356
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES C. GALYEN
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Credential | DC
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Telephone | 812-528-9380
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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