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General NPI Number Information
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NPI Number | 1962630954
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Entity Type | Organization
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Legal Business Name | CLINTON CHIROPRACTIC PC
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 06/29/2009
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Provider Practice Location Address
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Address Line | 326 BLACKMAN ST
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City | CLINTON
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State | IN
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Zip | 47842-2309
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Country | US
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Telephone | 765-832-7777
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Fax | 765-832-7779
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Provider Business Mailing Address
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Address Line | 326 BLACKMAN ST
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City | CLINTON
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State | IN
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Zip | 47842-2309
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Country | US
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Telephone | 765-832-7777
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Fax | 765-832-7779
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Authorized Official
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Title or Position | OWNER
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Name | DR. DUANE LAWRENCE BINDER
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Credential | D.C.
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Telephone | 765-832-7777
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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 | 08000690A
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License Number State | IN
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