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General NPI Number Information
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NPI Number | 1972789337
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Entity Type | Organization
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Legal Business Name | FERRELL CHIROPRACTIC HEALTH CENTER PLLC
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 09/02/2008
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Provider Practice Location Address
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Address Line | 619 CENTER ST
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City | ALVA
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State | OK
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Zip | 73717-2215
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Country | US
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Telephone | 580-327-2922
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Fax | 580-327-3002
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Provider Business Mailing Address
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Address Line | 619 CENTER ST PO BOX 396
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City | ALVA
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State | OK
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Zip | 73717-0396
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Country | US
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Telephone | 580-327-2922
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Fax | 580-327-3002
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROCKY G FERRELL
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Credential | D.C.
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Telephone | 580-327-2922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2599
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License Number State | OK
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