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General NPI Number Information
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NPI Number | 1316510811
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Entity Type | Organization
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Legal Business Name | LIVE LIFE CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 07/21/2021
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 1557 AIRPORT RD STE A
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6934
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Country | US
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Telephone | 501-767-0900
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Fax | 501-767-8430
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Provider Business Mailing Address
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Address Line | 1557 AIRPORT RD STE A
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6934
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Country | US
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Telephone | 501-767-0900
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Fax | 501-767-8430
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES NEIL
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Credential | DC
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Telephone | 501-767-0900
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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 |
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License Number State |
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