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General NPI Number Information
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NPI Number | 1215253976
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Entity Type | Organization
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Legal Business Name | SOUTHFORK CHIROPRACTIC
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 517 W FM 544 SUITE 200
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City | MURPHY
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State | TX
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Zip | 75094-4621
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Country | US
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Telephone | 972-578-2225
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Fax | 972-578-2201
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Provider Business Mailing Address
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Address Line | 517 W FM 544 SUITE 200
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City | MURPHY
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State | TX
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Zip | 75094-4621
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Country | US
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Telephone | 972-578-2225
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Fax | 972-578-2201
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Authorized Official
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Title or Position | OWNER
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Name | BOBBIE HUTCHISON
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Credential | DC
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Telephone | 972-578-2225
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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 | 11162
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License Number State | TX
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