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General NPI Number Information
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NPI Number | 1043229636
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Entity Type | Individual
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Provider Name | DEANNA MCCUTCHEON KERN D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4301 SATURN RD STE 201
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City | GARLAND
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State | TX
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Zip | 75041-5351
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Country | US
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Telephone | 214-275-7200
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Fax | 214-703-3354
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Provider Business Mailing Address
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Address Line | 1960 COPPER MOUNTAIN DR
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City | JUSTIN
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State | TX
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Zip | 76247-6748
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Country | US
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Telephone | 214-529-0948
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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 | 8834
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License Number State | TX
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