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General NPI Number Information
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NPI Number | 1841416948
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Entity Type | Organization
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Legal Business Name | HEYDINGER FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 295 MILAN AVE. SUITE 3
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City | NORWALK
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State | OH
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Zip | 44857-2513
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Country | US
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Telephone | 419-668-8412
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Fax |
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Provider Business Mailing Address
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Address Line | 295 MILAN AVE. SUITE 3
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City | NORWALK
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State | OH
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Zip | 44857-2513
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Country | US
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Telephone | 419-668-8412
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR, OWNER
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Name | DR. JASON ARTHUR HEYDINGER
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Credential | D.C.
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Telephone | 419-668-8412
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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 | 3726
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License Number State | OH
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