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General NPI Number Information
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NPI Number | 1770732323
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Entity Type | Organization
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Legal Business Name | PARKWAY CHIROPRACTIC
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Dates
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Enumeration Date | 09/18/2008
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 6029 E HIGHWAY 98
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City | PANAMA CITY
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State | FL
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Zip | 32404-7488
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Country | US
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Telephone | 850-871-5454
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Fax | 850-387-4872
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Provider Business Mailing Address
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Address Line | 6029 E HIGHWAY 98
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City | PANAMA CITY
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State | FL
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Zip | 32404-7488
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Country | US
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Telephone | 850-871-5454
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Fax | 850-387-4872
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Authorized Official
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Title or Position | OWNER
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Name | DR. SPICHAEL L STALLINGS
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Credential | DC
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Telephone | 850-871-5454
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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 | CH 4829
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License Number State | FL
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