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General NPI Number Information
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NPI Number | 1063204584
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Entity Type | Organization
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Legal Business Name | AUTO ACCIDENT INJURY CARE SOLUTIONS
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1907 W HUNTSVILLE AVE
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City | SPRINGDALE
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State | AR
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Zip | 72762-3024
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Country | US
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Telephone | 479-365-0001
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Fax | 866-803-2188
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Provider Business Mailing Address
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Address Line | 1907 W HUNTSVILLE AVE
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City | SPRINGDALE
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State | AR
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Zip | 72762-3024
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Country | US
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Telephone | 479-365-0001
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Fax | 866-803-2188
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY HAROLD GERGUSSON
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Credential | DC
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Telephone | 479-365-0001
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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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