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General NPI Number Information
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NPI Number | 1629199948
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Entity Type | Organization
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Legal Business Name | KIMBLE CHIROPRACTIC CLINIC, INC.
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 413 E CALVERT AVE
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City | KARNES CITY
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State | TX
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Zip | 78118-3213
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Country | US
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Telephone | 830-780-2213
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 219
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City | KARNES CITY
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State | TX
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Zip | 78114
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Country | US
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Telephone | 830-780-2213
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Fax | 830-780-2558
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | SCOTT D KIMBLE
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Credential | DC
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Telephone | 830-780-2213
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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 |
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