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General NPI Number Information
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NPI Number | 1851831085
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Entity Type | Organization
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Legal Business Name | LAUB CHIROPRACTIC LLC
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Dates
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Enumeration Date | 03/07/2017
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 713 SCOTT ST
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City | COVINGTON
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State | KY
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Zip | 41011-2417
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Country | US
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Telephone | 859-291-0333
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Fax | 859-291-0033
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Provider Business Mailing Address
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Address Line | 713 SCOTT ST
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City | COVINGTON
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State | KY
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Zip | 41011-2417
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Country | US
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Telephone | 859-291-0333
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Fax | 859-291-0033
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. STEPHAN L LAUB
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Credential | D.C
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Telephone | 812-584-5167
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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 | 5446
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License Number State | KY
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