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General NPI Number Information
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NPI Number | 1821178542
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Entity Type | Organization
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Legal Business Name | DEFIANCE CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 1770 JEFFERSON AVE
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City | DEFIANCE
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State | OH
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Zip | 43512
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Country | US
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Telephone | 419-782-2250
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Fax | 419-784-2347
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Provider Business Mailing Address
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Address Line | 1770 JEFFERSON AVE
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City | DEFIANCE
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State | OH
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Zip | 43512
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Country | US
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Telephone | 419-782-2250
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Fax | 419-784-2347
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Authorized Official
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Title or Position | TREASURER
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Name | DR. SHANE AARON KLINGLER
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Credential | DC
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Telephone | 419-782-2250
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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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