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General NPI Number Information
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NPI Number | 1699644757
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Entity Type | Organization
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Legal Business Name | DAVID A BANNISTER JR MARION CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 220 VIRGINIA AVE
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City | FAIRMONT
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State | WV
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Zip | 26554-0175
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Country | US
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Telephone | 304-363-4134
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Fax | 304-333-2054
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Provider Business Mailing Address
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Address Line | 220 VIRGINIA AVE
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City | FAIRMONT
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State | WV
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Zip | 26554-0175
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Country | US
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Telephone | 304-363-4134
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Fax | 304-333-2054
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. DAVID ALAN BANNISTER
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Credential | DC
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Telephone | 304-363-4134
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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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