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General NPI Number Information
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NPI Number | 1912267543
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Entity Type | Organization
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Legal Business Name | DOWNTOWN CLEVELAND INJURY & THERAPY CENTER, LLC
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 1419 WEST 9TH STREET
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City | CLEVELAND
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State | OH
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Zip | 44113
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Country | US
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Telephone | 216-289-8660
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Fax | 216-289-8662
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Provider Business Mailing Address
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Address Line | P.O. BOX 1388
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City | HUDSON
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State | OH
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Zip | 44236
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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 | DR. MARC JEREMY ROSENBERG
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Credential | D.C.
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Telephone | 216-289-8660
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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 |
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License Number State |
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