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General NPI Number Information
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NPI Number | 1396003059
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Entity Type | Organization
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Legal Business Name | GAFKEN CHIROPRACTIC CENTRE, INC.
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 05/01/2012
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Provider Practice Location Address
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Address Line | 3002 HIGHWAY 377 S
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City | BROWNWOOD
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State | TX
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Zip | 76801-5122
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Country | US
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Telephone | 325-646-4664
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Fax | 325-643-5861
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Provider Business Mailing Address
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Address Line | PO BOX 2237
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City | BROWNWOOD
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State | TX
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Zip | 76804-2237
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Country | US
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Telephone | 325-646-4664
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Fax | 325-643-5861
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. JAMES A GAFKEN
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Credential | D.C.
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Telephone | 325-646-4664
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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 | 4229
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License Number State | TX
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