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General NPI Number Information
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NPI Number | 1952301152
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Entity Type | Individual
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Provider Name | MARK OLIVER DAY SR. D.C., CSCS, DACBSP
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Gender | Male
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 151 E 3RD ST
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City | MAYSVILLE
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State | KY
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Zip | 41056-1271
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Country | US
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Telephone | 606-564-6831
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Fax | 606-564-8300
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Provider Business Mailing Address
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Address Line | 151 E 3RD ST
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City | MAYSVILLE
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State | KY
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Zip | 41056-1271
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Country | US
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Telephone | 606-564-6831
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Fax | 606-564-8300
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 1787
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 249851
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License Number State | KY
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