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General NPI Number Information
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NPI Number | 1952594939
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Entity Type | Organization
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Legal Business Name | FALL CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 08/06/2010
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Provider Practice Location Address
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Address Line | 1936 E. WHEELING AVE
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City | CAMBRIDGE
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State | OH
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Zip | 43725
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Country | US
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Telephone | 740-432-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 1936 E. WHEELING AVE
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City | CAMBRIDGE
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State | OH
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Zip | 43725
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Country | US
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Telephone | 740-432-7600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRYAN ANTHONY FALL
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Credential | D.C.
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Telephone | 740-432-7600
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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 | 3703
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License Number State | OH
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