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General NPI Number Information
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NPI Number | 1023178084
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Entity Type | Organization
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Legal Business Name | LIFE FAMILY CHIROPRACTIC, PA
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 123 E MAIN ST
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City | FARMINGTON
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State | AR
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Zip | 72730-3125
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Country | US
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Telephone | 479-267-3030
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Fax | 479-267-5725
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Provider Business Mailing Address
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Address Line | PO BOX 1319
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City | FARMINGTON
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State | AR
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Zip | 72730-1319
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Country | US
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Telephone | 479-267-3030
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Fax | 479-267-5725
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER L AKEY
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Credential | D.C.
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Telephone | 479-267-3030
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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 | 1593
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License Number State | AR
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