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General NPI Number Information
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NPI Number | 1215001847
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC ARTS CENTER OF MOORE
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 804 NE 23RD ST
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City | MOORE
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State | OK
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Zip | 73160-8976
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Country | US
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Telephone | 405-794-5000
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Fax | 405-794-5003
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Provider Business Mailing Address
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Address Line | 804 NE 23RD ST
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City | MOORE
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State | OK
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Zip | 73160-8976
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Country | US
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Telephone | 405-794-5000
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Fax | 405-794-5003
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Authorized Official
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Title or Position | OWNER
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Name | DR. KYLE WHITTEN MUSE
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Credential | DC
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Telephone | 405-794-5000
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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 | 3587
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License Number State | OK
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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 | 3248
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License Number State | OK
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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 | 1616
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3639
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License Number State | OK
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