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General NPI Number Information
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NPI Number | 1821021049
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Entity Type | Organization
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Legal Business Name | BACK TO HEALTH FAMILY CHIROPRACTIC INC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 1113 NORTHVIEW DRIVE
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City | HILLSBORO
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State | OH
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Zip | 45133-8525
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Country | US
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Telephone | 937-393-9609
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Fax | 937-393-9606
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Provider Business Mailing Address
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Address Line | 1113 NORTHVIEW DRIVE
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City | HILLSBORO
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State | OH
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Zip | 45133-8525
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Country | US
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Telephone | 937-393-9609
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Fax | 937-393-9606
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | NICHOLAS P JONES
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Credential | DC
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Telephone | 937-393-9609
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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 | 1539
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3615
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1957
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License Number State | OH
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