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General NPI Number Information
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NPI Number | 1811024466
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Entity Type | Organization
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Legal Business Name | HARMON CHIROPRACTIC INC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 327 CHESTNUT ST
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City | BEREA
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State | KY
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Zip | 40403-1921
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Country | US
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Telephone | 859-986-5636
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Fax |
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Provider Business Mailing Address
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Address Line | 327 CHESTNUT ST
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City | BEREA
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State | KY
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Zip | 40403-1921
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Country | US
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Telephone | 859-986-5636
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLYDE DAVIS HARMON JR.
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Credential | DC
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Telephone | 859-986-5636
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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 | 4157
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License Number State | KY
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