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General NPI Number Information
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NPI Number | 1790011476
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Entity Type | Organization
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Legal Business Name | REBECCA DAWN WELLS, D.C., P.L.L.C.
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Dates
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Enumeration Date | 10/30/2009
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Last Update Date | 10/30/2009
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Provider Practice Location Address
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Address Line | 1100 N UNIVERSITY AVE SUITE 108
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City | LITTLE ROCK
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State | AR
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Zip | 72207-6343
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Country | US
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Telephone | 501-978-7246
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Fax | 501-907-9060
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Provider Business Mailing Address
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Address Line | 1100 N UNIVERSITY AVE SUITE 108
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City | LITTLE ROCK
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State | AR
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Zip | 72207-6343
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Country | US
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Telephone | 501-978-7246
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Fax | 501-907-9060
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. REBECCA DAWN WELLS
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Credential | D.C.
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Telephone | 501-978-7246
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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 | 1729
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License Number State | AR
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