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General NPI Number Information
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NPI Number | 1013116359
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Entity Type | Organization
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Legal Business Name | ANGLETON CHIROPRACTIC & REHAB, PLLC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 1124 N VELASCO ST STE E
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City | ANGLETON
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State | TX
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Zip | 77515-3161
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Country | US
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Telephone | 979-849-8900
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Fax | 979-849-9995
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Provider Business Mailing Address
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Address Line | 1124 N VELASCO ST STE E
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City | ANGLETON
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State | TX
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Zip | 77515-3161
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Country | US
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Telephone | 979-849-8900
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Fax | 979-849-9995
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. CHRISTIAN SPENCER PANGAN
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Credential | D.C.
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Telephone | 979-849-8900
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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 | 9191
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License Number State | TX
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