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General NPI Number Information
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NPI Number | 1033658752
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Entity Type | Organization
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Legal Business Name | ARMSTRONG SPINE AND SPORT
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 07/26/2017
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Provider Practice Location Address
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Address Line | 160 WESTMOUNT DR
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City | FARMINGTON
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State | MO
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Zip | 63640-2970
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Country | US
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Telephone | 573-701-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 160 WESTMOUNT DR
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City | FARMINGTON
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State | MO
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Zip | 63640-2970
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Country | US
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Telephone | 573-701-0770
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTIC PHYSICIAN
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Name | DR. ISAAC CHRISTIAN ARMSTRONG
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Credential | D.C.
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Telephone | 573-701-0770
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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 | 2017003505
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License Number State | MO
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