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General NPI Number Information
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NPI Number | 1881773075
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Entity Type | Organization
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Legal Business Name | BJ CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8880 COLERAIN AVENUE
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City | CINCINNATI
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State | OH
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Zip | 45251
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Country | US
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Telephone | 513-245-9100
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Fax | 513-245-2696
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Provider Business Mailing Address
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Address Line | PO BOX 53068
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City | CINCINNATI
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State | OH
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Zip | 45253
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRIAN W JOHNSON
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Credential | DC
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Telephone | 513-245-9100
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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 | 2301008209
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License Number State | MI
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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 | 3672
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License Number State | OH
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