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General NPI Number Information
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NPI Number | 1083570329
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Entity Type | Organization
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Legal Business Name | ADVANCED CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1602 E STARR AVE STE 201
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4312
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Country | US
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Telephone | 936-560-5441
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Fax | 936-205-9905
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Provider Business Mailing Address
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Address Line | 1602 E STARR AVE STE 201
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4312
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Country | US
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Telephone | 936-560-5441
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Fax | 936-205-9905
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Authorized Official
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Title or Position | OWNER
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Name | DEBRA WHITE
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Credential | DC
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Telephone | 936-560-5441
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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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