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General NPI Number Information
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NPI Number | 1013108620
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Entity Type | Organization
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Legal Business Name | AMERICAN BACK COUNCIL, INC.
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 08/08/2007
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Provider Practice Location Address
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Address Line | 11811 EAST FWY # I-10 SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77029-1974
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Country | US
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Telephone | 281-469-2225
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Fax | 713-784-5364
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Provider Business Mailing Address
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Address Line | PO BOX 229
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City | KATY
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State | TX
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Zip | 77492-0229
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Country | US
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Telephone | 281-469-2225
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Fax | 713-784-5364
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Authorized Official
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Title or Position | CHIROPRACTOR/ASSOCIATE
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Name | GABRIEL R GUTIERREZ
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Credential | D.C.
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Telephone | 281-469-2225
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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 | 2939
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License Number State | TX
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