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General NPI Number Information
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NPI Number | 1043539976
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Entity Type | Organization
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Legal Business Name | DALLAS HEALTHCORE CHIROPRACTIC AND REHABILITATION CENTER INC
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 7410 CRAIGSHIRE AVE
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City | DALLAS
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State | TX
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Zip | 75231-4717
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Country | US
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Telephone | 214-679-9816
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Fax |
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Provider Business Mailing Address
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Address Line | 9111 CHURCH RD
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City | DALLAS
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State | TX
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Zip | 75231-4851
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Country | US
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Telephone | 214-679-9816
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Fax | 214-348-2800
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. MAUREEN V JAMIESON
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Credential | DC
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Telephone | 214-679-9816
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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 | 5984
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License Number State | TX
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