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General NPI Number Information
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NPI Number | 1851445704
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Entity Type | Organization
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Legal Business Name | STAY WELL CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/23/2012
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Provider Practice Location Address
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Address Line | 135 CENTRAL AVE SUITE #1
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City | SOUTH WILLIAMSON
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State | KY
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Zip | 41503-4165
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Country | US
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Telephone | 606-237-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 135 CENTRAL AVE SUITE #1
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City | SOUTH WILLIAMSON
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State | KY
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Zip | 41503-4165
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Country | US
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Telephone | 606-237-9355
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LURA-BETH HENSLEY
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Credential | D.C.
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Telephone | 740-867-4080
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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 | 2280
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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 | 4290
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License Number State | KY
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