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General NPI Number Information
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NPI Number | 1871832378
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Entity Type | Organization
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Legal Business Name | DUNCAN CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 16622 PEARL ROAD
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City | STRONGSVILLE
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State | OH
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Zip | 44149-9296
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Country | US
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Telephone | 440-238-0106
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Fax | 440-238-0173
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Provider Business Mailing Address
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Address Line | 16622 PEARL ROAD
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City | STRONGSVILLE
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State | OH
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Zip | 44149-9296
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Country | US
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Telephone | 440-238-0106
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Fax | 440-238-0173
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RYAN DAVID DUNCAN
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Credential | D.C.
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Telephone | 330-391-4549
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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 | 4139
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License Number State | OH
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