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General NPI Number Information
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NPI Number | 1992823090
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Entity Type | Organization
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Legal Business Name | BRYAN C. NELSON, P.S.C.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 430 OGDEN ST SUITE 2
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City | SOMERSET
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State | KY
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Zip | 42501-1794
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Country | US
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Telephone | 606-679-1529
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Fax | 606-679-1529
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Provider Business Mailing Address
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Address Line | 430 OGDEN ST SUITE 2
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City | SOMERSET
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State | KY
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Zip | 42501-1794
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Country | US
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Telephone | 606-679-1529
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Fax | 606-679-1529
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRYAN CARL NELSON
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Credential | D.C.
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Telephone | 606-679-1529
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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 | 4070
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License Number State | KY
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