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General NPI Number Information
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NPI Number | 1649410465
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Entity Type | Organization
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Legal Business Name | HENDERSON COUNTY CLINIC OF CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 03/06/2009
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 16570 HIGHWAY 104 N
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City | LEXINGTON
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State | TN
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Zip | 38351-3847
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Country | US
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Telephone | 731-249-5640
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Fax |
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Provider Business Mailing Address
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Address Line | 16570 HIGHWAY 104 N
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City | LEXINGTON
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State | TN
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Zip | 38351-3847
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Country | US
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Telephone | 731-249-5640
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Fax |
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Authorized Official
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Title or Position | CLINIC DOCTOR
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Name | DR. STEPHEN MERRILL
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Credential |
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Telephone | 731-249-5640
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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 | 2323
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License Number State | TN
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