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General NPI Number Information
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NPI Number | 1821192931
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Entity Type | Organization
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Legal Business Name | BARKER CHIROPRACTIC CLINIC PC
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4903 STARKEY ROAD SUITE 100
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City | ROANOKE
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State | VA
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Zip | 24018
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Country | US
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Telephone | 540-776-3218
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Fax | 540-966-7192
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Provider Business Mailing Address
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Address Line | 4903 STARKEY ROAD SUITE 100
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City | ROANOKE
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State | VA
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Zip | 24018
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Country | US
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Telephone | 540-776-3218
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Fax | 540-966-7192
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JEFFREY SEAN BARKER
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Credential | DC CCSP
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Telephone | 540-776-3218
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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 | 0104001258
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104001053
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License Number State | VA
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