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General NPI Number Information
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NPI Number | 1578758934
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Entity Type | Organization
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Legal Business Name | ARTHUR PANGEMANAN DC LLC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1004 DEWEY DR SUITE C
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City | LAWRENCEBURG
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State | KY
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Zip | 40342-1761
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Country | US
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Telephone | 502-839-7171
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Fax | 502-839-4441
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Provider Business Mailing Address
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Address Line | 1004 DEWEY DR SUITE C
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City | LAWRENCEBURG
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State | KY
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Zip | 40342-1761
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Country | US
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Telephone | 502-839-7171
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Fax | 502-839-4441
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CHRISTA GRAVELY
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Credential |
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Telephone | 502-839-7171
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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 | KY
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