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General NPI Number Information
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NPI Number | 1942202551
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Entity Type | Organization
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Legal Business Name | WEAVER FAMILY CHIROPRACTIC CLINIC INC
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1130 S CANFIELD NILES RD
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City | AUSTINTOWN
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State | OH
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Zip | 44515-4036
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Country | US
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Telephone | 330-799-7110
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Fax | 330-799-1254
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Provider Business Mailing Address
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Address Line | 1130 S CANFIELD NILES RD
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City | AUSTINTOWN
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State | OH
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Zip | 44515-4036
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Country | US
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Telephone | 330-799-1110
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Fax | 330-799-1254
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL PAUL WEAVER
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Credential | DC
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Telephone | 330-799-1110
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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 | OH
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