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General NPI Number Information
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NPI Number | 1538348594
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Entity Type | Organization
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Legal Business Name | POOL CHIROPRACTIC CLINIC, PC
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 110 W CHOCTAW ST
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City | LINDSAY
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State | OK
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Zip | 73052-5417
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Country | US
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Telephone | 405-756-3182
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Fax | 405-756-3182
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Provider Business Mailing Address
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Address Line | 110 W CHOCTAW ST
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City | LINDSAY
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State | OK
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Zip | 73052-5417
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Country | US
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Telephone | 405-756-3182
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Fax | 405-756-3182
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Authorized Official
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Title or Position | DR. POOL
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Name | DR. WILLIAM EUGENE POOL
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Credential | D.O.
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Telephone | 405-756-3182
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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 | OK3518
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License Number State | OK
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