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General NPI Number Information
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NPI Number | 1053674465
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Entity Type | Organization
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Legal Business Name | SAFE2LIVE INC
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 1601 E LAMAR BLVD 101-D
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City | ARLINGTON
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State | TX
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Zip | 76011-4510
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Country | US
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Telephone | 817-470-4691
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 202732
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City | ARLINGTON
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State | TX
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Zip | 76006-8732
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Country | US
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Telephone | 817-470-4691
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO/DOCTOR
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Name | DR. DAVID D THORNTON
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Credential | D.C.
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Telephone | 817-470-4691
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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 | 8654
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License Number State | TX
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