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General NPI Number Information
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NPI Number | 1992824056
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Entity Type | Organization
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Legal Business Name | LARRY MCILROY CHIROPRACTIC ARTS, P.A.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 111 JOHN DUPRE
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City | LEVELLAND
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State | TX
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Zip | 79336
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Country | US
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Telephone | 806-894-8119
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Fax | 806-894-2796
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Provider Business Mailing Address
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Address Line | 111 JOHN DUPREE DR
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City | LEVELLAND
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State | TX
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Zip | 79336-6326
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Country | US
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Telephone | 806-894-8119
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Fax | 806-894-2796
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Authorized Official
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Title or Position | OWNER
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Name | DR. LARRY D MCILROY
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Credential | D.C.
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Telephone | 806-894-8119
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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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