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Individual
DR. LARRY NEAL WHITAKER
Active
Individual
DR. LARRY NEAL WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF CHIROPRACT
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC2576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8H5031
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/23/2008
Last updated
01/23/2008
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