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General NPI Number Information
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NPI Number | 1063691525
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Entity Type | Organization
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Legal Business Name | DUCHON CHIROPRACTIC
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 2724 61ST ST STE 5
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City | GALVESTON
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State | TX
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Zip | 77551-1800
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Country | US
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Telephone | 409-744-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 2724 61ST ST STE 5
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City | GALVESTON
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State | TX
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Zip | 77551-1800
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Country | US
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Telephone | 409-744-9355
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHAD DUCHON
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Credential | D.C.
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Telephone | 409-744-9355
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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 | 8210
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License Number State | TX
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