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General NPI Number Information
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NPI Number | 1295960656
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Entity Type | Organization
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Legal Business Name | PILCHER CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 10/02/2009
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Provider Practice Location Address
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Address Line | 521 TITUS ST
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City | GILMER
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State | TX
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Zip | 75644-1735
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Country | US
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Telephone | 903-680-2511
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Fax | 903-680-2439
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Provider Business Mailing Address
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Address Line | 521 TITUS ST
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City | GILMER
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State | TX
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Zip | 75644-1735
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Country | US
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Telephone | 903-680-2511
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Fax | 903-680-2439
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARRY RICHARD PILCHR
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Credential | D.C.
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Telephone | 903-680-2511
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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 | 11183
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License Number State | TX
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