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General NPI Number Information
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NPI Number | 1003735002
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Entity Type | Organization
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Legal Business Name | GENERATIONS BRAIN & SPINE CLINIC PLLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 1472 N MUSTANG RD
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City | MUSTANG
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State | OK
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Zip | 73064-7214
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Country | US
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Telephone | 405-256-6806
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Fax |
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Provider Business Mailing Address
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Address Line | 9225 S CEMETERY RD
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City | MUSTANG
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State | OK
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Zip | 73064-9313
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Country | US
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Telephone | 405-933-1707
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. CASE JEFFERY WOODARD
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Credential | DC
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Telephone | 405-933-1707
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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 |
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License Number State |
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