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General NPI Number Information
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NPI Number | 1891230819
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Entity Type | Organization
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Legal Business Name | ROBERT TERRY KERBS, L.L.C.
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Dates
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Enumeration Date | 12/29/2016
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Last Update Date | 12/29/2016
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Provider Practice Location Address
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Address Line | 1130 S ROGERS ST
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City | CLARKSVILLE
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State | AR
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Zip | 72830-9157
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Country | US
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Telephone | 479-754-2500
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Fax | 479-754-3187
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Provider Business Mailing Address
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Address Line | 1130 S ROGERS ST
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City | CLARKSVILLE
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State | AR
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Zip | 72830-9157
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Country | US
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Telephone | 479-754-2500
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Fax | 479-754-3187
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT TERRY KERBS
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Credential | D.C.
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Telephone | 479-754-2500
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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 | 1571
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License Number State | AR
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