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General NPI Number Information
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NPI Number | 1477512218
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Entity Type | Organization
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Legal Business Name | LITTLE ROCK CHIROPRACTIC CLINIC, P.A.
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 1100 W 3RD ST
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City | LITTLE ROCK
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State | AR
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Zip | 72201-2008
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Country | US
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Telephone | 501-371-0022
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Fax | 501-371-0810
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Provider Business Mailing Address
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Address Line | 1100 W 3RD ST
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City | LITTLE ROCK
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State | AR
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Zip | 72201-2008
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Country | US
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Telephone | 501-371-0022
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Fax | 501-371-0810
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | RICHARD L RILEY
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Credential | D.C.
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Telephone | 501-371-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 887
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License Number State | AR
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