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General NPI Number Information
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NPI Number | 1124291521
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Entity Type | Organization
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Legal Business Name | DARBY CHIROPRACTIC APC
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 221 N LEWIS ST
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City | NEW IBERIA
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State | LA
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Zip | 70563-2840
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Country | US
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Telephone | 337-364-6543
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Fax | 337-364-6564
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Provider Business Mailing Address
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Address Line | 221 N LEWIS ST
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City | NEW IBERIA
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State | LA
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Zip | 70563-2840
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Country | US
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Telephone | 337-364-6543
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Fax | 337-364-6564
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID MARK DARBY
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Credential | D.C,
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Telephone | 337-364-6543
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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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