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General NPI Number Information
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NPI Number | 1861893489
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HOLISTIC & INTEGRATIVE CARE LLC
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 11/12/2014
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Provider Practice Location Address
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Address Line | 7970 MENTOR AVE SUITE #A3
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City | MENTOR
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State | OH
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Zip | 44060-5614
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Country | US
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Telephone | 440-781-9237
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Fax |
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Provider Business Mailing Address
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Address Line | 7970 MENTOR AVE SUITE #A3
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City | MENTOR
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State | OH
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Zip | 44060-5614
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Country | US
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Telephone | 440-781-9237
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. CHERIE L GALLANT
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Credential | D.C., M.S.
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Telephone | 440-781-9237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 020826
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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 | 4396
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License Number State | OH
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