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General NPI Number Information
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NPI Number | 1972415024
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Entity Type | Individual
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Provider Name | CHAD HOBBS CAREY JR.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 1105 INDEPENDENCE DR
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City | WEST PLAINS
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State | MO
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Zip | 65775-4221
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Country | US
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Telephone | 417-256-8888
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Fax | 417-255-0060
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Provider Business Mailing Address
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Address Line | 1673 STATE ROUTE K
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City | POTTERSVILLE
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State | MO
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Zip | 65790-9623
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Country | US
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Telephone |
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 2026045639
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License Number State | MO
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