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General NPI Number Information
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NPI Number | 1386318186
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Entity Type | Organization
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Legal Business Name | IN-LINE FAMILY CHIROPRACTIC, PA
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 2901 E ZION RD STE 1
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5070
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Country | US
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Telephone | 918-724-6457
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Fax |
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Provider Business Mailing Address
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Address Line | 3093 NAPA LN
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City | SPRINGDALE
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State | AR
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Zip | 72764-7818
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Country | US
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Telephone | 918-724-6457
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR / OWNER
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Name | DR. BREANNA BATEY
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Credential | DC
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Telephone | 918-724-6457
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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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