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General NPI Number Information
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NPI Number | 1932675477
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Entity Type | Organization
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Legal Business Name | LOVETT CHIRO LLC
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 2203 PARAMOUNT BLVD
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City | AMARILLO
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State | TX
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Zip | 79109
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Country | US
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Telephone | 806-358-7106
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Fax | 806-355-0524
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Provider Business Mailing Address
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Address Line | 2203 PARAMOUNT BLVD
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City | AMARILLO
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State | TX
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Zip | 79109-1703
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Country | US
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Telephone | 806-220-8166
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Fax |
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | JEANNIE RACHELLE HENDRICKS
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Credential |
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Telephone | 806-358-7106
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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 |
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License Number State |
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