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General NPI Number Information
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NPI Number | 1871856542
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Entity Type | Organization
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Legal Business Name | K MCFARLIN USRY DC PA
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 10/11/2012
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Provider Practice Location Address
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Address Line | 1541 PROSPERITY FMS RD
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City | LAKE PARK
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State | FL
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Zip | 33403-2025
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Country | US
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Telephone | 561-863-8779
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Fax | 561-863-3363
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Provider Business Mailing Address
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Address Line | 1541 PROSPERITY FMS RD
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City | LAKE PARK
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State | FL
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Zip | 33403-2025
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Country | US
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Telephone | 561-863-8779
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Fax | 561-863-3363
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | KEVIN MCFARLIN USRY
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Credential | D.C
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Telephone | 561-863-8779
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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 | CH5055
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License Number State | FL
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