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General NPI Number Information
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NPI Number | 1013900067
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Entity Type | Individual
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Provider Name | ROBERT LAWRENCE MECHLING D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2332 W 12600 S SUITE D
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City | RIVERTON
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State | UT
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Zip | 84065-7161
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Country | US
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Telephone | 801-302-9400
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Fax | 801-302-9401
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Provider Business Mailing Address
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Address Line | 2332 W 12600 S SUITE D
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City | RIVERTON
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State | UT
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Zip | 84065-7161
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Country | US
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Telephone | 801-302-9400
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Fax | 801-302-9401
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 338800-1202
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License Number State | UT
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