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General NPI Number Information
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NPI Number | 1013572858
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Entity Type | Individual
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Provider Name | BEAU PATRICK SAULS DC
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Gender | Male
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 17740 PRESTON RD STE 150
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City | DALLAS
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State | TX
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Zip | 75252-5840
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Country | US
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Telephone | 830-660-9855
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Fax |
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Provider Business Mailing Address
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Address Line | 7160 LINNE RD
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City | NEW BERLIN
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State | TX
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Zip | 78155-8307
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Country | US
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Telephone | 806-685-3707
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Fax |
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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 | 14073
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License Number State | TX
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