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General NPI Number Information
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NPI Number | 1144529751
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Entity Type | Individual
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Provider Name | BELINDA JO SOUTHALL D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2011
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Last Update Date | 07/31/2016
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Provider Practice Location Address
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Address Line | 4102 BUFFALO GAP RD STE A1
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City | ABILENE
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State | TX
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Zip | 79605-7243
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Country | US
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Telephone | 325-695-0090
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Fax | 325-695-0091
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Provider Business Mailing Address
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Address Line | 4433 LOOP 322
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City | ABILENE
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State | TX
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Zip | 79602-8056
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Country | US
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Telephone | 325-793-9444
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Fax | 325-793-9462
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 11722
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License Number State | TX
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