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Organization
WHITE RIVER CHIROPRACTIC LIFE CENTER, INC.
Active
Organization
WHITE RIVER CHIROPRACTIC LIFE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DEAN TAYLOR D.C. (PRESIDENT)
(870) 698-1650
Entity
Organization
Contact information
Practice address
1361 WHITE DR, BATESVILLE, AR 72501-9467
(870) 698-1650
(870) 793-4790
Mailing address
PO BOX 2544, BATESVILLE, AR 72503-2544
(870) 698-1650
(870) 793-4790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
940
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127932718
—
AR
01
—
5F871
MEDICARE PTAN (LEGACY NUMBER)
AR
Enumeration date
04/18/2007
Last updated
06/30/2008
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