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General NPI Number Information
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NPI Number | 1447477427
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC HEALTH CENTER GAYLON E CARTER DC PA
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 301 N SHACKLEFORD RD SUITE G2
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City | LITTLE ROCK
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State | AR
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Zip | 72211-2843
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Country | US
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Telephone | 501-217-9355
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Fax | 501-217-9354
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Provider Business Mailing Address
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Address Line | PO BOX 190431
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City | LITTLE ROCK
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State | AR
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Zip | 72219-0431
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Country | US
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Telephone | 501-217-9355
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Fax | 501-217-9354
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Authorized Official
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Title or Position | OWNER
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Name | DR. GAYLON CARTER
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Credential | D.C.
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Telephone | 501-217-9355
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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 | 845
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License Number State | AR
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