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General NPI Number Information
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NPI Number | 1053514786
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Entity Type | Organization
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Legal Business Name | BUROW CHRIOPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | 612 N MAIN ST
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City | TAYLOR
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State | TX
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Zip | 76574-3647
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Country | US
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Telephone | 512-352-5584
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Fax | 512-365-3113
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Provider Business Mailing Address
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Address Line | 612 N MAIN ST
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City | TAYLOR
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State | TX
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Zip | 76574-3647
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Country | US
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Telephone | 512-352-5584
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Fax | 512-365-3113
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL BUROW
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Credential | D.C.
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Telephone | 512-352-5584
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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 | 5377
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License Number State | TX
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