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General NPI Number Information
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NPI Number | 1073772836
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Entity Type | Individual
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Provider Name | MAUREEN VIRGINIA MARTIN JAMIESON DC
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Gender | Female
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 8117 PRESTON RD STE 680
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City | DALLAS
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State | TX
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Zip | 75225-6326
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Country | US
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Telephone | 214-679-9816
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Fax | 214-389-1949
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Provider Business Mailing Address
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Address Line | 7322 CRAIGSHIRE AVE
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City | DALLAS
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State | TX
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Zip | 75231-4748
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Country | US
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Telephone | 214-679-9816
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Fax | 214-389-1949
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5984
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License Number State | TX
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