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General NPI Number Information
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NPI Number | 1053503243
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Entity Type | Organization
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Legal Business Name | CHEYENNE CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 2541 S I H 35 SUITE #400
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City | ROUND ROCK
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State | TX
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Zip | 78664-7360
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Country | US
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Telephone | 512-246-3904
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Fax | 512-246-2391
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Provider Business Mailing Address
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Address Line | 2541 S I H 35 SUITE #400
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City | ROUND ROCK
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State | TX
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Zip | 78664-7360
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Country | US
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Telephone | 512-246-3904
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Fax | 512-246-2391
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN S. HUFFMAN
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Credential | D.C.
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Telephone | 512-246-3904
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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 | 9747
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License Number State | TX
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