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General NPI Number Information
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NPI Number | 1629081070
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Entity Type | Individual
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Provider Name | LOREN ARTHUR MATHES D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 2925 SOUTHWEST PKWY SUITE 300
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City | WICHITA FALLS
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State | TX
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Zip | 76308-4100
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Country | US
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Telephone | 940-691-3200
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Fax | 940-691-7715
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Provider Business Mailing Address
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Address Line | 2925 SOUTHWEST PKWY SUITE 300
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City | WICHITA FALLS
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State | TX
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Zip | 76308-4100
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Country | US
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Telephone | 940-691-3200
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Fax | 940-691-7715
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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 | DC5761TX
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License Number State | TX
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