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General NPI Number Information
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NPI Number | 1063330975
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Entity Type | Organization
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Legal Business Name | THE POWERFUL BODY PLLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 2003 STATE HIGHWAY 114 SUITE 400
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City | TROPHY CLUB
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State | TX
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Zip | 76262
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Country | US
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Telephone | 817-859-2639
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Fax | 817-438-0952
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Provider Business Mailing Address
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Address Line | 5101 SQUAW CREEK CT
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City | FORT WORTH
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State | TX
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Zip | 76137-3531
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Country | US
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Telephone | 702-738-5374
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Fax | 817-438-0952
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. MANUEL ALESSIO TREVINO
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Credential | DC
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Telephone | 702-738-5374
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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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