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NPI 1720104490

NPI 1720104490 : LOYD CHIROPRACTIC CENTER : BUFFALO, WY

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General NPI Number Information
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    NPI Number           |    1720104490
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOYD CHIROPRACTIC CENTER 
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Dates
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    Enumeration Date     |    03/22/2007
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    Last Update Date     |    01/05/2011
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Provider Practice Location Address
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    Address Line         |    109 W HESSE ST 
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    City                 |    BUFFALO
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    State                |    WY
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    Zip                  |    82834-1501
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    Country              |    US
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    Telephone            |    307-684-2449
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    Fax                  |    307-684-2132
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Provider Business Mailing Address
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    Address Line         |    109 W HESSE ST 
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    City                 |    BUFFALO
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    State                |    WY
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    Zip                  |    82834-1501
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    Country              |    US
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    Telephone            |    307-684-2449
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    Fax                  |    307-684-2132
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Authorized Official
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    Title or Position    |    DOCTOR OF CHIROPRATIC
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    Name                 |    DR. JAMES WILLIAM LOYD 
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    Credential           |    D.C.
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    Telephone            |    307-684-2449
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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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