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General NPI Number Information
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NPI Number | 1720199219
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Entity Type | Organization
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Legal Business Name | AARCHWAY CHIROPRACTIC K A PLUMMER DC PA
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 326 HOLCOMB ST
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City | SPRINGDALE
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State | AR
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Zip | 72764-4405
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Country | US
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Telephone | 479-751-1133
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Fax | 479-751-8550
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Provider Business Mailing Address
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Address Line | PO BOX 766
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City | SPRINGDALE
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State | AR
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Zip | 72765-0766
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Country | US
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Telephone | 479-751-1133
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Fax | 479-751-8550
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHIE PLUMMER
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Credential | DC, PA
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Telephone | 479-751-1133
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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 | 1261
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License Number State | AR
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