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General NPI Number Information
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NPI Number | 1891918330
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Entity Type | Organization
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Legal Business Name | EWING CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7625 PARAGON RD SUITE A
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City | DAYTON
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State | OH
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Zip | 45459-4067
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Country | US
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Telephone | 937-435-5566
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Fax | 937-425-0032
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Provider Business Mailing Address
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Address Line | PO BOX 751176
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City | DAYTON
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State | OH
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Zip | 45475-1176
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Country | US
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Telephone | 937-435-5566
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Fax | 937-425-0032
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH T EWING
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Credential | D.C.
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Telephone | 937-435-5566
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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 | 1695
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License Number State | OH
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