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General NPI Number Information
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NPI Number | 1932386240
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Entity Type | Organization
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Legal Business Name | DOUDNA CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 400 NORTH ST SUITE #1
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City | CALDWELL
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State | OH
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Zip | 43724-1217
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Country | US
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Telephone | 740-732-4242
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Fax | 740-732-9980
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Provider Business Mailing Address
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Address Line | PO BOX 114
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City | CALDWELL
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State | OH
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Zip | 43724-0114
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Country | US
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Telephone | 740-732-4242
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Fax | 740-732-9980
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Authorized Official
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Title or Position | SOLE MBR.
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Name | DR. STEPHEN DOUDNA II
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Credential | D.C.
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Telephone | 740-732-4242
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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 | 1398
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License Number State | OH
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