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General NPI Number Information
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NPI Number | 1225471899
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Entity Type | Organization
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Legal Business Name | JAMES D. MIDKIFF, DC, CC
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 4317 MACCORKLE AVE SE
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City | CHARLESTON
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State | WV
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Zip | 25304-2503
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Country | US
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Telephone | 304-925-0377
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4003
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City | CHARLESTON
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State | WV
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Zip | 25364-4003
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Country | US
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Telephone | 304-925-0377
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES MIDKIFF
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Credential | DC
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Telephone | 304-925-0377
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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 | 247
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License Number State | WV
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