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NPI 1548115793

NPI 1548115793 : PRIMARY CHIROPRACTIC LLC INBALANCE CHIROPRACTIC & WELLNESS : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1548115793
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRIMARY CHIROPRACTIC LLC INBALANCE CHIROPRACTIC & WELLNESS 
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Dates
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    Enumeration Date     |    03/03/2026
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    Last Update Date     |    03/03/2026
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Provider Practice Location Address
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    Address Line         |    5300 N MERIDIAN AVE STE 6 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73112-2137
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    Country              |    US
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    Telephone            |    405-445-6126
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    Fax                  |    918-720-0272
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Provider Business Mailing Address
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    Address Line         |    5300 N MERIDIAN AVE STE 6 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73112-2137
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BRENT MATTHEW MCCALMON 
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    Credential           |    DC
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    Telephone            |    405-445-6126
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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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