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General NPI Number Information
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NPI Number | 1255753000
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Entity Type | Organization
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Legal Business Name | MCFARLAND SPINE AND SPORT LLC
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 311 PINE ST
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City | WEST PLAINS
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State | MO
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Zip | 65775-2533
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Country | US
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Telephone | 417-293-9172
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Fax |
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Provider Business Mailing Address
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Address Line | 2054 C R 6460
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City | WEST PLAINS
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State | MO
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Zip | 65775-6304
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Country | US
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Telephone | 417-293-9172
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Fax |
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Authorized Official
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Title or Position | DR. OF CHIROPRACTIC
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Name | DR. MATTHEW ALDEN MCFARLAND
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Credential | D.C.
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Telephone | 417-293-9172
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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 | 2014000855
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License Number State | MO
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