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General NPI Number Information
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NPI Number | 1821347972
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Entity Type | Organization
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Legal Business Name | FLORA CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 432 W NORTH AVE
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City | FLORA
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State | IL
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Zip | 62839-1243
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Country | US
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Telephone | 618-662-2334
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Fax | 618-662-2332
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Provider Business Mailing Address
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Address Line | 432 W NORTH AVE
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City | FLORA
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State | IL
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Zip | 62839-1243
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Country | US
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Telephone | 618-662-2334
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Fax | 618-662-2332
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER PAUL MURBARGER
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Credential | D.C.
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Telephone | 618-662-2334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 038012169
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License Number State | IL
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