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General NPI Number Information
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NPI Number | 1023256682
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Entity Type | Organization
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Legal Business Name | BACK IN ACTION CHIROPRACTIC
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 101 S. SHERMAN ST STE C
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City | RICHARDSON
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State | TX
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Zip | 75081
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Country | US
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Telephone | 972-644-4601
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Fax | 972-635-5284
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Provider Business Mailing Address
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Address Line | 101 S. SHERMAN ST STE C
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City | RICHARDSON
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State | TX
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Zip | 75081
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Country | US
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Telephone | 972-644-4601
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Fax | 972-635-5284
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DAVID KUANG LIANG
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Credential | DC
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Telephone | 972-644-4601
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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 | 8713
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License Number State | TX
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