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General NPI Number Information
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NPI Number | 1417538893
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Entity Type | Organization
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Legal Business Name | PAULS VALLEY CHIROPRACTIC
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Dates
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Enumeration Date | 04/18/2021
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 400 S WALNUT ST
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City | PAULS VALLEY
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State | OK
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Zip | 73075-3811
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Country | US
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Telephone | 405-926-2033
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Fax | 405-926-2034
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Provider Business Mailing Address
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Address Line | PO BOX 1280
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City | PAULS VALLEY
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State | OK
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Zip | 73075-2080
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Country | US
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Telephone | 405-926-2033
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Fax | 405-926-2034
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Authorized Official
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Title or Position | OWNER/CHIROPRACTIC
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Name | DR. AARON DAVID PERKINS
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Credential | DC
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Telephone | 405-926-2033
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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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