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General NPI Number Information
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NPI Number | 1083700918
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Entity Type | Organization
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Legal Business Name | WELLNESS CARE CHIROPRACTIC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9555 LEBANON RD 801
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City | FRISCO
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State | TX
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Zip | 75035
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Country | US
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Telephone | 972-712-0200
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Fax | 972-712-2303
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Provider Business Mailing Address
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Address Line | 9555 LEBONON RD 801
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City | FRISCO
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State | TX
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Zip | 75035
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Country | US
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Telephone | 972-712-0200
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Fax | 972-712-2303
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Authorized Official
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Title or Position | DOCTOR OWNER
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Name | DR. GRANT A STOWELL
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Credential | DC
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Telephone | 972-712-0200
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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 | 8184
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License Number State | TX
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