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General NPI Number Information
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NPI Number | 1871861930
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Entity Type | Organization
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Legal Business Name | VASCURA CHIROPRACTIC & REHABILITATION CENTER
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Dates
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Enumeration Date | 12/05/2011
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 2110 MAPLE AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-2025
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Country | US
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Telephone | 740-455-5555
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Fax | 740-455-4648
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Provider Business Mailing Address
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Address Line | 2110 MAPLE AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-2025
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Country | US
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Telephone | 740-455-5555
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Fax | 740-455-4648
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. DAVID JOHN VASCURA
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Credential | D.C.
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Telephone | 740-455-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2835
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License Number State | OH
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