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General NPI Number Information
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NPI Number | 1003363011
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Entity Type | Organization
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Legal Business Name | WEIR FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 06/29/2017
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Provider Practice Location Address
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Address Line | 1108 S ELM ST
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City | CARROLLTON
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State | TX
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Zip | 75006-7226
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Country | US
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Telephone | 972-242-6886
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 S ELM ST
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City | CARROLLTON
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State | TX
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Zip | 75006
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Country | US
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Telephone | 214-529-0871
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Fax | 972-242-7886
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Authorized Official
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Title or Position | OWNER
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Name | DUSTIN WEIR
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Credential | D.C.
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Telephone | 972-242-6886
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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 | 10022
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License Number State | TX
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