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General NPI Number Information
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NPI Number | 1538610191
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Entity Type | Organization
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Legal Business Name | ARLINGTON CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 01/16/2017
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Provider Practice Location Address
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Address Line | 2401 W PIONEER PKWY SUITE 145
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City | PANTEGO
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State | TX
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Zip | 76013-6056
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Country | US
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Telephone | 817-453-3999
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Fax | 817-453-3970
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Provider Business Mailing Address
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Address Line | 1071 COUNTRY CLUB DR SUITE 101
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City | MANSFIELD
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State | TX
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Zip | 76063-2663
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Country | US
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Telephone | 817-453-3999
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Fax | 817-453-3970
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE HAROLD BOBBITT JR.
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Credential | D.C.
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Telephone | 817-453-3999
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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 |
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License Number State |
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