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General NPI Number Information
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NPI Number | 1104531680
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Entity Type | Organization
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Legal Business Name | NATIVE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 2237 W MEMORIAL RD STE 116
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-8064
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Country | US
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Telephone | 405-534-4244
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Fax | 405-543-1131
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Provider Business Mailing Address
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Address Line | 2237 W MEMORIAL RD STE 116
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-8064
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Country | US
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Telephone | 405-534-4244
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Fax | 405-543-1131
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC/ OWNER
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Name | DR. BRITTANY WETZEL
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Credential | DC
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Telephone | 405-534-4244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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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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