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General NPI Number Information
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NPI Number | 1073964938
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Entity Type | Organization
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Legal Business Name | RGV CHIROPRACTIC CLINIC, LLC
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 1810 W JEFFERSON AVE
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City | HARLINGEN
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State | TX
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Zip | 78550-5247
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Country | US
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Telephone | 956-622-3430
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Fax |
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Provider Business Mailing Address
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Address Line | 18812 THIEME RD
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City | HARLINGEN
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State | TX
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Zip | 78552-1733
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Country | US
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Telephone | 956-622-3430
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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 | MARTHA J GARCIA
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Credential |
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Telephone | 956-622-3430
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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 | 10433
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License Number State | TX
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