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General NPI Number Information
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NPI Number | 1255814984
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Entity Type | Individual
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Provider Name | RICHARD FORTE JR. DC
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Gender | Male
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 1008 NW J ST STE J
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City | BENTONVILLE
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State | AR
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Zip | 72712-4103
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Country | US
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Telephone | 479-412-4121
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Fax |
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Provider Business Mailing Address
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Address Line | 1008 NW J ST STE J
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City | BENTONVILLE
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State | AR
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Zip | 72712-4103
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Country | US
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Telephone | 470-219-0052
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Fax |
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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 | DC011387
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License Number State | PA
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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 | CHR.0007894
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License Number State | CO
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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 | 16427
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License Number State | AR
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