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General NPI Number Information
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NPI Number | 1780811315
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER PRIMEAUX CHIROPRACTIC P.A.
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | 7486 US HIGHWAY 59 S
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City | TEXARKANA
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State | TX
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Zip | 75501-1285
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Country | US
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Telephone | 870-777-3100
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Fax | 870-777-3286
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Provider Business Mailing Address
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Address Line | PO BOX 1610
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City | HOPE
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State | AR
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Zip | 71802-1610
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Country | US
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Telephone | 870-777-3100
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Fax | 870-777-3286
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Authorized Official
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Title or Position | OWNER
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Name | CHRIS PRIMEAUX
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Credential |
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Telephone | 870-777-3100
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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 | 1165
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License Number State | AR
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