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General NPI Number Information
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NPI Number | 1487701629
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Entity Type | Individual
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Provider Name | LOLITA ANN REASOR-BURTON D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1670 W MAIN ST
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City | PAOLI
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State | IN
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Zip | 47454-9665
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Country | US
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Telephone | 812-723-2277
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Fax | 812-723-2477
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Provider Business Mailing Address
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Address Line | 8575 W COLLEGE ST
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City | FRENCH LICK
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State | IN
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Zip | 47432-1060
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Country | US
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Telephone | 812-936-4920
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 08001140A
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License Number State | IN
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