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General NPI Number Information
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NPI Number | 1891820759
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Entity Type | Individual
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Provider Name | JOLIE BITNER
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 38291 STATE ROUTE 93
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City | HAMDEN
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State | OH
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Zip | 45634-8710
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Country | US
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Telephone | 740-384-5555
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Fax | 740-384-5555
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Provider Business Mailing Address
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Address Line | 38291 STATE ROUTE 93
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City | HAMDEN
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State | OH
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Zip | 45634-8710
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Country | US
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Telephone | 740-384-5555
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Fax | 740-384-5555
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 2788
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 2788
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License Number State | OH
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