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General NPI Number Information
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NPI Number | 1760574404
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Entity Type | Organization
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Legal Business Name | KILLOUGH ENTERPRISES, INC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 106 N 7TH STREET
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City | BALLINGER
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State | TX
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Zip | 76821
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Country | US
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Telephone | 325-365-8888
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Fax | 325-365-2331
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Provider Business Mailing Address
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Address Line | 106 N 7TH STREET
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City | BALLINGER
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State | TX
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Zip | 76821
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Country | US
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Telephone | 325-365-8888
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Fax | 325-365-2331
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANNY R KILLOUGH JR.
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Credential | DC
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Telephone | 325-365-8888
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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 | DC8055
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License Number State | TX
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