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General NPI Number Information
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NPI Number | 1407292923
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Entity Type | Individual
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Provider Name | RICHARD WAYNE GUILLORY JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2013
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 801 ROAD TO SIX FLAGS W STE 146
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City | ARLINGTON
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State | TX
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Zip | 76012-2600
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Country | US
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Telephone | 817-887-8182
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Fax |
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Provider Business Mailing Address
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Address Line | 801 ROAD TO SIX FLAGS W STE 146
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City | ARLINGTON
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State | TX
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Zip | 76012-2600
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Country | US
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Telephone | 817-887-8182
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Fax |
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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 | 12195
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License Number State | TX
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