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General NPI Number Information
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NPI Number | 1841729134
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Entity Type | Organization
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Legal Business Name | RANKINS CHIROPRACTIC AND REHABILITATION, LLC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/12/2017
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Provider Practice Location Address
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Address Line | 910 8TH AVE.
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City | LAKE CHARLES
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State | LA
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Zip | 70601
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Country | US
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Telephone | 337-602-6003
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Fax | 337-602-6492
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Provider Business Mailing Address
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Address Line | 910 8TH AVE
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City | LAKE CHARLES
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State | LA
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Zip | 70601-4832
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KATRINA FAYE RANKINS
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Credential | D.C.
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Telephone | 337-707-3319
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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 | 1761
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License Number State | LA
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