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General NPI Number Information
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NPI Number | 1558784447
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Entity Type | Organization
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Legal Business Name | BARR FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 01/28/2014
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 1252 AIRPORT PARK BLVD STE C5
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City | UKIAH
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State | CA
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Zip | 95482-5979
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Country | US
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Telephone | 707-462-9448
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Fax | 707-462-9456
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Provider Business Mailing Address
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Address Line | 1252 AIRPORT PARK BLVD STE C5
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City | UKIAH
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State | CA
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Zip | 95482-5979
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Country | US
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Telephone | 707-462-9448
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Fax | 707-462-9456
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Authorized Official
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Title or Position | OWNER
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Name | DR. WALTER KENTON BARR
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Credential | D.C.
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Telephone | 707-462-9448
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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 | DC27198
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License Number State | CA
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