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General NPI Number Information
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NPI Number | 1003954975
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Entity Type | Individual
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Provider Name | REYNALDO R. AMADOR D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 1210 ALLENDALE RD
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City | PASADENA
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State | TX
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Zip | 77502-3306
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Country | US
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Telephone | 713-472-4414
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Fax | 713-472-3016
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Provider Business Mailing Address
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Address Line | 1210 ALLENDALE RD
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City | PASADENA
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State | TX
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Zip | 77502-3306
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Country | US
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Telephone | 713-472-4414
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Fax | 713-472-3016
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 9591
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License Number State | TX
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