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General NPI Number Information
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NPI Number | 1366484008
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Entity Type | Individual
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Provider Name | DEAN A. DARR D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 105 E. HUBBARD ST.
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City | LINDALE
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State | TX
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Zip | 75771
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Country | US
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Telephone | 903-881-2225
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Fax | 903-881-9591
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Provider Business Mailing Address
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Address Line | PO BOX 385
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City | LINDALE
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State | TX
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Zip | 75771-0385
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Country | US
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Telephone | 903-881-2225
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Fax | 903-881-9591
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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 | 3092
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number | 3092
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License Number State | TX
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