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General NPI Number Information
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NPI Number | 1942561568
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Entity Type | Organization
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Legal Business Name | VO ACUPUNCTURE & CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 12613 MARBLE DR
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City | FORT SMITH
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State | AR
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Zip | 72916-4150
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Country | US
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Telephone | 479-926-2789
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Fax | 479-424-6715
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Provider Business Mailing Address
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Address Line | 12613 MARBLE DR
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City | FORT SMITH
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State | AR
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Zip | 72916-4150
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Country | US
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Telephone | 479-926-2789
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Fax | 479-424-6715
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES VO
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Credential |
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Telephone | 479-926-2789
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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 | 15699
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License Number State | AR
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