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NPI Code Detail

MEDICARE: NORTH DAYTON GROUP, LLC

MEDICARE: NORTH DAYTON GROUP, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1043491236
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH DAYTON GROUP, LLC
Provider Business Mailing Address
First Line : 1764 LARELYN LN
Second Line :
City : SHINGLE SPRINGS
State : CA
Zip : 95682-8097
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2517 BURNET AVE
Second Line : STE. #200
City : CINCINNATI
State : OH
Zip : 45219-2501
Country : US
Telephone Number : 513-221-1200
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. GORDON JAMES SPURLING
Credential :
Telephone Number : 805-698-5000
Provider Enumeration Date : 11/16/2007
Last Update Date : 11/16/2007

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Directions to “NORTH DAYTON GROUP, LLC ” Practice Location

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