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General NPI Number Information
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NPI Number | 1801978192
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Entity Type | Organization
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Legal Business Name | FAMILY CHIROPRACTIC, INC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 12/30/2008
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Provider Practice Location Address
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Address Line | 3759 G CENTER RD
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City | PERRY
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State | OH
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Zip | 44081
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Country | US
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Telephone | 440-259-1064
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Fax | 440-259-1065
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Provider Business Mailing Address
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Address Line | 3759 G CENTER RD
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City | PERRY
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State | OH
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Zip | 44081
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Country | US
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Telephone | 440-259-1064
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Fax | 440-259-1065
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Authorized Official
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Title or Position | OWNER PRES
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Name | DR. MISTY LYNN SENZ
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Credential | DC
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Telephone | 440-259-1064
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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 | 2560
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License Number State | OH
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