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General NPI Number Information
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NPI Number | 1124901335
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Entity Type | Organization
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Legal Business Name | ALIGN CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 213 W BUCHANAN ST
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City | PRAIRIE GROVE
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State | AR
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Zip | 72753-3002
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Country | US
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Telephone | 479-225-3963
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Fax |
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Provider Business Mailing Address
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Address Line | 816 HERRON ST
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City | PRAIRIE GROVE
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State | AR
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Zip | 72753-2814
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BONNIE K KRAGEL
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Credential | DC
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Telephone | 479-225-3963
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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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