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General NPI Number Information
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NPI Number | 1982933032
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Entity Type | Organization
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Legal Business Name | DAYTON CHIRO & REHAB
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Dates
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Enumeration Date | 12/21/2009
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Last Update Date | 12/21/2009
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Provider Practice Location Address
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Address Line | 8940 KINGSRIDGE DR
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City | DAYTON
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State | OH
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Zip | 45458-1632
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Country | US
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Telephone | 937-567-7888
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Fax | 937-281-0666
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Provider Business Mailing Address
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Address Line | 8940 KINGSRIDGE DR
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City | DAYTON
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State | OH
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Zip | 45458-1632
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Country | US
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Telephone | 937-567-7888
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Fax | 937-281-0666
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN W JOHNSON
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Credential | D.C.
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Telephone | 937-567-7888
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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 | 1602
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License Number State | OH
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