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NPI 1619984960

NPI 1619984960 : STEVEN RAY HOWARD D.C. : JACKSON, KY

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General NPI Number Information
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    NPI Number           |    1619984960
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN RAY HOWARD D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/01/2006
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    Last Update Date     |    11/09/2021
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Provider Practice Location Address
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    Address Line         |    1725 HIGHWAY 15 N 
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    City                 |    JACKSON
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    State                |    KY
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    Zip                  |    41339-9405
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    Country              |    US
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    Telephone            |    606-666-0009
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    Fax                  |    606-666-0095
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Provider Business Mailing Address
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    Address Line         |    1725 HIGHWAY 15 NORTH P O BOX 994
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    City                 |    JACKSON
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    State                |    KY
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    Zip                  |    41339-0994
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    Country              |    US
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    Telephone            |    606-666-0009
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    Fax                  |    606-666-0095
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    4577
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    License Number State |    KY
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