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General NPI Number Information
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NPI Number | 1992844831
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Entity Type | Organization
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Legal Business Name | CROSBY CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4508 OUTER LOOP
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City | LOUISVILLE
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State | KY
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Zip | 40219-3857
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Country | US
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Telephone | 502-969-3121
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Fax |
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Provider Business Mailing Address
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Address Line | 4508 OUTER LOOP
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City | LOUISVILLE
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State | KY
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Zip | 40219-3857
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Country | US
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Telephone | 502-969-3121
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. BING G CROSBY
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Credential | D.C.
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Telephone | 502-969-3121
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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 | 3133R
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License Number State | KY
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