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General NPI Number Information
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NPI Number | 1043318413
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Entity Type | Organization
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Legal Business Name | TOWN CENTER CHIROPRACTIC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2717 CROSS TIMBERS RD STE 418
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City | FLOWER MOUND
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State | TX
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Zip | 75028
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Country | US
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Telephone | 972-906-7988
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Fax | 972-906-7989
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Provider Business Mailing Address
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Address Line | 2717 CROSS TIMBERS RD STE 418
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City | FLOWER MOUND
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State | TX
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Zip | 75028
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Country | US
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Telephone | 972-906-7988
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Fax | 972-906-7989
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Authorized Official
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Title or Position | PARTNER CHIROPRACTOR
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Name | AMIR A YEGANEHJOO
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Credential | D.C.
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Telephone | 972-906-7988
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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 | 10306
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License Number State | TX
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