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General NPI Number Information
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NPI Number | 1790488799
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Entity Type | Organization
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Legal Business Name | KNOX CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 503 E MAIN ST
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City | SALEM
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State | KY
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Zip | 42078-8033
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Country | US
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Telephone | 270-704-3786
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Fax |
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Provider Business Mailing Address
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Address Line | 6521 US HIGHWAY 60 W
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City | MARION
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State | KY
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Zip | 42064-7019
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Country | US
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Telephone | 270-704-3786
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT LAWRENCE KNOX
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Credential | D.C
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Telephone | 270-704-3786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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