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General NPI Number Information
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NPI Number | 1851505010
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Entity Type | Organization
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Legal Business Name | LOUNSBURY CHIROPRACTIC OFFICE INC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 1307 MERCER ST
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City | PRINCETON
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State | WV
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Zip | 24740
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Country | US
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Telephone | 304-425-5561
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Fax | 304-425-5561
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Provider Business Mailing Address
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Address Line | PO BOX 285 1307 MERCER ST
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City | PRINCETON
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State | WV
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Zip | 24740
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Country | US
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Telephone | 304-425-5561
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Fax | 304-425-5561
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Authorized Official
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Title or Position | PRES
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Name | DR. FRANCES LYNN LOUNSBURY
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Credential | DC
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Telephone | 304-425-5561
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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 | 1008
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License Number State | SC
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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 | 205
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License Number State | WV
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