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NPI 1558631838

NPI 1558631838 : SLAYTON CHIROPRACTIC INC. : JONESBORO, AR

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General NPI Number Information
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    NPI Number           |    1558631838
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    Entity Type          |    Organization 
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    Legal Business Name  |    SLAYTON CHIROPRACTIC INC. 
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Dates
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    Enumeration Date     |    01/04/2012
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    Last Update Date     |    07/25/2023
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Provider Practice Location Address
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    Address Line         |    1903 GRANT AVE STE B 
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    City                 |    JONESBORO
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    State                |    AR
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    Zip                  |    72401-6198
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    Country              |    US
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    Telephone            |    870-336-3333
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    Fax                  |    870-336-3332
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Provider Business Mailing Address
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    Address Line         |    1903 GRANT AVE STE B 
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    City                 |    JONESBORO
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    State                |    AR
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    Zip                  |    72401-6198
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    Country              |    US
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    Telephone            |    870-336-3333
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    Fax                  |    870-336-3332
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. REBECCA SUE SLAYTON 
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    Credential           |    D.C.
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    Telephone            |    870-336-3333
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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       |    1662
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    License Number State |    AR
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