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General NPI Number Information
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NPI Number | 1932318573
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Entity Type | Organization
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Legal Business Name | DAWN INJURY & WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 923 EMERSON AVE
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City | PARKERSBURG
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State | WV
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Zip | 26101-2526
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Country | US
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Telephone | 304-428-9355
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Fax | 304-428-2565
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Provider Business Mailing Address
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Address Line | 923 EMERSON AVE
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City | PARKERSBURG
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State | WV
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Zip | 26101-2526
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Country | US
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Telephone | 304-428-9355
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Fax | 304-428-2565
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. CALLIE RADER
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Credential | DC
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Telephone | 304-428-9355
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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 | 720
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License Number State | WV
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