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General NPI Number Information
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NPI Number | 1932297785
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Entity Type | Organization
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Legal Business Name | SANDERS CHIROPRACTIC CENTER, PA
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 5805 64TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-2707
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Country | US
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Telephone | 806-687-7417
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Fax |
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Provider Business Mailing Address
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Address Line | 5805 64TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-2707
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Country | US
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Telephone | 806-687-7417
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. KEVIN B SANDERS
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Credential | DC
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Telephone | 806-687-7417
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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 | DC6764
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License Number State | TX
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