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General NPI Number Information
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NPI Number | 1952442410
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Entity Type | Organization
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Legal Business Name | FITZGERALD CHIROPRACTIC INC.
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3411 STONEY SPRING CIRCLE
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City | LOUISVILLE
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State | KY
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Zip | 40220-5433
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Country | US
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Telephone | 502-491-4118
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Fax | 502-491-4019
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Provider Business Mailing Address
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Address Line | 3411 STONEY SPRING CIRCLE
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City | LOUISVILLE
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State | KY
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Zip | 40220-5433
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Country | US
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Telephone | 502-491-4118
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Fax | 502-491-4019
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD LEE FITZGERALD
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Credential | D.C.
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Telephone | 502-491-4118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 4714
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License Number State | KY
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