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NPI 1023397494

NPI 1023397494 : REIF THALJI, DC, PC : CYPRESS, TX

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General NPI Number Information
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    NPI Number           |    1023397494
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    Entity Type          |    Organization 
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    Legal Business Name  |    REIF THALJI, DC, PC 
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Dates
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    Enumeration Date     |    08/16/2011
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    Last Update Date     |    08/16/2011
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Provider Practice Location Address
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    Address Line         |    14555 SKINNER RD STE A
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77429-1734
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    Country              |    US
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    Telephone            |    281-758-2800
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    Fax                  |    281-758-2857
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Provider Business Mailing Address
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    Address Line         |    14555 SKINNER RD STE A
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77429-1734
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    Country              |    US
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    Telephone            |    281-758-2800
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    Fax                  |    281-758-2857
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. REIF  THALJI 
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    Credential           |    
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    Telephone            |    281-758-2800
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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       |    9644
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    License Number State |    TX
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