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General NPI Number Information
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NPI Number | 1467630921
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Entity Type | Organization
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Legal Business Name | C.A.R.E. CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 2618 W MLK JR BLVD
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-7698
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Country | US
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Telephone | 479-521-7755
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Fax |
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Provider Business Mailing Address
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Address Line | 2618 W MLK JR BLVD
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-7698
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Country | US
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Telephone | 479-521-7755
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. LARRY C WEEKS
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Credential | D.C.
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Telephone | 479-521-7755
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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 | 1218
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License Number State | AR
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