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General NPI Number Information
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NPI Number | 1891979472
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Entity Type | Organization
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Legal Business Name | OWENS CHIROPRACTIC AND REHABILITATION CENTER, LLC
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 7319 MONTGOMERY ROAD
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City | CINCINNATI
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State | OH
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Zip | 45236
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Country | US
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Telephone | 513-784-0084
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Fax | 513-784-0086
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Provider Business Mailing Address
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Address Line | P.O. BOX 36146
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City | CINCINNATI
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State | OH
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Zip | 45236
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Country | US
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Telephone | 513-784-0084
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Fax | 513-784-0086
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. STEPHANIE OWENS
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Credential | D.C.
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Telephone | 513-784-0084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 3324
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License Number State | OH
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