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General NPI Number Information
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NPI Number | 1174512784
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Entity Type | Individual
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Provider Name | JAMES MCMINNUS KINGTON DC
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Gender | Male
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 258 S MAIN ST
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City | MADISONVILLE
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State | KY
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Zip | 42431-2558
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Country | US
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Telephone | 270-825-4100
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Fax | 270-825-4960
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Provider Business Mailing Address
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Address Line | 258 S MAIN ST
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City | MADISONVILLE
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State | KY
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Zip | 42431-2558
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Country | US
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Telephone | 270-825-4100
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Fax | 270-825-4960
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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 | 4180
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License Number State | KY
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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 | 1262
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1133
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License Number State | SC
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