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General NPI Number Information
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NPI Number | 1013249556
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Entity Type | Organization
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Legal Business Name | SPINETASTIK - THE FUTURE OF CHIROPRACTIC
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 01/19/2011
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Provider Practice Location Address
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Address Line | 11211 KATY FWY SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77079-2106
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Country | US
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Telephone | 713-250-8425
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Fax | 713-589-8844
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Provider Business Mailing Address
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Address Line | 14731 BELTERRAZA DR
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City | HOUSTON
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State | TX
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Zip | 77083-6760
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Country | US
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Telephone | 713-391-0269
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Fax | 281-469-7315
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. LEONARD LUNA
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Credential | D.C.
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Telephone | 713-391-0269
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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 | 11271
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License Number State | TX
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