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General NPI Number Information
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NPI Number | 1124390752
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Entity Type | Organization
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Legal Business Name | MCARTHUR CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 4808 GREAT RIVER DR SUITE E
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City | MERIDIAN
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State | MS
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Zip | 39305-2664
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Country | US
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Telephone | 601-693-1100
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Fax | 601-483-7435
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Provider Business Mailing Address
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Address Line | 4808 GREAT RIVER DR SUITE E
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City | MERIDIAN
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State | MS
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Zip | 39305-2664
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Country | US
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Telephone | 601-693-1100
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Fax | 601-483-7435
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Authorized Official
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Title or Position | MEMBER
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Name | DR. RUSSEL E MCARTHUR
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Credential | D.C.
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Telephone | 601-693-1100
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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 | 418
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License Number State | MS
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