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General NPI Number Information
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NPI Number | 1720302268
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Entity Type | Organization
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Legal Business Name | POWELL FAMILY CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 1399 WILLARD ST
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City | SPRINGDALE
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State | AR
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Zip | 72762-6097
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Country | US
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Telephone | 479-756-9355
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Fax | 479-756-9354
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Provider Business Mailing Address
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Address Line | 1399 WILLARD ST
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City | SPRINGDALE
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State | AR
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Zip | 72762-6097
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Country | US
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Telephone | 479-756-9355
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Fax | 479-756-9354
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Authorized Official
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Title or Position | OWNER
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Name | DR. FLOYD POWELL
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Credential | DC
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Telephone | 479-301-8026
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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 | 15705
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License Number State | AR
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