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General NPI Number Information
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NPI Number | 1871638262
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Entity Type | Organization
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Legal Business Name | TINIUS CHIROPRACTIC CENTER, PLLC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 1300 TAMARACK RD
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City | OWENSBORO
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State | KY
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Zip | 42301-6965
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Country | US
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Telephone | 270-926-8042
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Fax | 270-926-8099
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Provider Business Mailing Address
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Address Line | 1300 TAMARACK RD
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City | OWENSBORO
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State | KY
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Zip | 42301-6965
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Country | US
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Telephone | 270-926-8042
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Fax | 270-926-8099
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Authorized Official
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Title or Position | DOCTOR AND OWNER
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Name | DR. LARRY H TINIUS
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Credential | D.C.
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Telephone | 270-926-8042
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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 |
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License Number State |
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