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General NPI Number Information
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NPI Number | 1083825376
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Entity Type | Organization
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Legal Business Name | BACK TO BALANCE CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12574 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77077-5808
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Country | US
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Telephone | 281-596-8868
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Fax | 281-596-8878
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Provider Business Mailing Address
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Address Line | 12574 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77077-5808
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Country | US
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Telephone | 281-596-8868
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Fax | 281-596-8878
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHANGYAN ZHOU
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Credential | D. C.
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Telephone | 281-596-8868
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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 | 8935
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License Number State | TX
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