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General NPI Number Information
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NPI Number | 1679295208
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Entity Type | Organization
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Legal Business Name | DARBY CHIROPRACTIC & SPORTS PERFORMANCE LLC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 2240 DIAMOND D DR
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City | BEAUMONT
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State | TX
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Zip | 77713-5300
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Country | US
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Telephone | 409-273-4309
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Fax |
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Provider Business Mailing Address
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Address Line | 2240 DIAMOND D DR
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City | BEAUMONT
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State | TX
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Zip | 77713-5300
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Country | US
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Telephone | 409-273-4309
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAMON DARBY
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Credential | D.C.
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Telephone | 409-273-4309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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