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General NPI Number Information
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NPI Number | 1831365949
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Entity Type | Organization
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Legal Business Name | BODIES IN MOTION CHIROPRACTIC AND WELLNESS LLC
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 1404 COLEGATE DR
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City | MARIETTA
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State | OH
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Zip | 45750-1330
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Country | US
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Telephone | 304-991-3041
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Fax |
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Provider Business Mailing Address
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Address Line | 1404 COLEGATE DR
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City | MARIETTA
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State | OH
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Zip | 45750-1330
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Country | US
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Telephone | 304-991-3041
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BENJAMIN CURTIS RUSH
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Credential | D.C.
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Telephone | 304-991-3041
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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 | 3858
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License Number State | OH
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