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General NPI Number Information
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NPI Number | 1679893077
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Entity Type | Organization
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Legal Business Name | DORN CARE CHIROPRACTIC LTD
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 3901 E STAN SCHLUETER LOOP SUITE 205
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City | KILLEEN
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State | TX
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Zip | 76542-4516
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Country | US
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Telephone | 254-690-7090
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Fax | 254-690-8850
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Provider Business Mailing Address
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Address Line | 3901 E STAN SCHLUETER LOOP SUITE 205
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City | KILLEEN
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State | TX
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Zip | 76542-4516
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Country | US
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Telephone | 254-690-7090
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Fax | 254-690-8850
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. KYM ARCHIE
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Credential |
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Telephone | 254-690-7090
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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 | 6987
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License Number State | TX
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