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General NPI Number Information
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NPI Number | 1942207964
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Entity Type | Individual
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Provider Name | ROBERT TERRY KERBS D.C., C.C.E.P.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 02/13/2012
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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 |
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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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 1571
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License Number State | AR
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