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NPI 1457406985

NPI 1457406985 : LOCKWOOD CHIROPRACTIC HEALTH SERVICES, PLLC : HENDERSON, KY

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General NPI Number Information
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    NPI Number           |    1457406985
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOCKWOOD CHIROPRACTIC HEALTH SERVICES, PLLC 
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Dates
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    Enumeration Date     |    01/24/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    714 S GREEN ST 
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    City                 |    HENDERSON
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    State                |    KY
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    Zip                  |    42420-3906
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    Country              |    US
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    Telephone            |    270-826-3182
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    714 S GREEN ST 
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    City                 |    HENDERSON
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    State                |    KY
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    Zip                  |    42420-3906
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    Country              |    US
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    Telephone            |    270-826-3182
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    Fax                  |    
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Authorized Official
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    Title or Position    |    D.C.
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    Name                 |    DR. STUART  LOCKWOOD 
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    Credential           |    
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    Telephone            |    270-826-3182
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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       |    3478
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    License Number State |    KY
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