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General NPI Number Information
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NPI Number | 1740972801
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Entity Type | Organization
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Legal Business Name | ROCK WOOSTER CHIROPRACTIC LLC ROCK CHIROPRACTIC
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 106 S 7TH ST
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-3715
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Country | US
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Telephone | 501-365-3306
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Fax | 501-365-3307
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Provider Business Mailing Address
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Address Line | 106 S 7TH ST
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-3715
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Country | US
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Telephone | 501-365-3306
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Fax | 501-365-3307
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Authorized Official
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Title or Position | CLINIC ADMIN
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Name | MS. KATELYN BRIANN HENSLEY
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Credential |
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Telephone | 501-365-3306
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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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