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General NPI Number Information
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NPI Number | 1932103892
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Entity Type | Individual
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Provider Name | JAMES D RAKER DC
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 1414 ARKANSAS BLVD
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City | TEXARKANA
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State | AR
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Zip | 71854-1604
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Country | US
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Telephone | 870-773-7246
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Fax | 870-772-2568
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Provider Business Mailing Address
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Address Line | 1414 ARKANSAS BLVD
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City | TEXARKANA
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State | AR
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Zip | 71854-1604
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Country | US
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Telephone | 870-773-7246
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Fax | 870-772-2568
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1141
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License Number State | AR
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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 | 5184
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License Number State | TX
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