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General NPI Number Information
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NPI Number | 1063021046
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Entity Type | Organization
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Legal Business Name | ALAMO CITY WELLNESS CENTER PC
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 11924 VANCE JACKSON RD
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City | SAN ANTONIO
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State | TX
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Zip | 78230-1691
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Country | US
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Telephone | 210-696-5150
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Fax |
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Provider Business Mailing Address
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Address Line | 801 COLLINS ST
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City | RICHMOND
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State | TX
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Zip | 77469-2806
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Country | US
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Telephone | 346-239-9469
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BARBARA SCHULZE
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Credential |
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Telephone | 210-744-3242
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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 |
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License Number State |
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