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General NPI Number Information
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NPI Number | 1902821986
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Entity Type | Organization
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Legal Business Name | ARKANSAS LANE CHIROPRACTIC PA
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 3602 MATLOCK RD STE 204
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City | ARLINGTON
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State | TX
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Zip | 76015-3600
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Country | US
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Telephone | 817-274-7776
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Fax | 817-274-0296
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Provider Business Mailing Address
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Address Line | 3602 MATLOCK RD STE 204
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City | ARLINGTON
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State | TX
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Zip | 76015-3600
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Country | US
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Telephone | 817-274-7776
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Fax | 817-274-0296
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Authorized Official
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Title or Position | DOCTOR OWNER
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Name | DR. MONTE STUART ANDERSON
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Credential | DC
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Telephone | 817-274-7776
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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 | 7390
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License Number State | TX
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