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General NPI Number Information
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NPI Number | 1750426268
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Entity Type | Individual
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Provider Name | CONN DANIEL BICKHARD D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 4701 SOUTHWEST PKWY STE 18
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City | WICHITA FALLS
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State | TX
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Zip | 76310-3269
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Country | US
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Telephone | 940-696-2262
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Fax | 940-691-0451
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Provider Business Mailing Address
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Address Line | 4701 SOUTHWEST PKWY STE 18
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City | WICHITA FALLS
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State | TX
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Zip | 76310-3269
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Country | US
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Telephone | 940-696-2262
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Fax | 940-691-0451
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3083
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License Number State | TX
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