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General NPI Number Information
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NPI Number | 1982922753
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Entity Type | Organization
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Legal Business Name | MEADE COUNTY CHIROPRACTIC & SPORTS REHAB PSC
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1133 HIGH ST
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City | BRANDENBURG
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State | KY
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Zip | 40108-1510
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Country | US
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Telephone | 270-422-5553
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Fax | 270-422-5543
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Provider Business Mailing Address
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Address Line | 1133 HIGH ST
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City | BRANDENBURG
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State | KY
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Zip | 40108-1510
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Country | US
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Telephone | 270-422-5553
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Fax | 270-422-5543
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Authorized Official
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Title or Position | OWNER
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Name | BRIDGETTE ANN BROWN
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Credential | D.C.
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Telephone | 270-668-5399
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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 | 5237
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License Number State | KY
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