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General NPI Number Information
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NPI Number | 1609993237
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Entity Type | Organization
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Legal Business Name | LAUBHAN CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 4312 TECKLA BLVD SUITE 300
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City | AMARILLO
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State | TX
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Zip | 79109-5413
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Country | US
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Telephone | 806-352-8353
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Fax | 806-352-8802
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Provider Business Mailing Address
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Address Line | 4312 TECKLA BLVD SUITE 300
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City | AMARILLO
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State | TX
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Zip | 79109-5413
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Country | US
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Telephone | 806-352-8353
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Fax | 806-352-8802
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | RICK L LAUBHAN
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Credential | D.C.
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Telephone | 806-352-8353
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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 | 4596
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License Number State | TX
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