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General NPI Number Information
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NPI Number | 1841743523
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Entity Type | Organization
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Legal Business Name | COLE-MEJIA CHIROPRACTIC CLINIC INC.
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 08/24/2016
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Provider Practice Location Address
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Address Line | 3 W MARKET ST
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City | GERMANTOWN
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State | OH
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Zip | 45327-1353
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Country | US
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Telephone | 937-855-3214
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Fax | 937-855-2967
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Provider Business Mailing Address
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Address Line | 3 W MARKET ST
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City | GERMANTOWN
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State | OH
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Zip | 45327-1353
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Country | US
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Telephone | 937-855-3214
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Fax | 937-855-2967
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. RODOLFO H MEJIA
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Credential | D.O.
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Telephone | 937-855-3214
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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 | 2053
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License Number State | OH
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