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General NPI Number Information
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NPI Number | 1093206179
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Entity Type | Individual
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Provider Name | BAILLIE A TRUMBLE DC
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Gender | Female
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 11/26/2018
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Provider Practice Location Address
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Address Line | 112 W 4TH ST
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City | JUSTIN
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State | TX
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Zip | 76247
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Country | US
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Telephone | 940-648-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 801 EARLY BLVD
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City | EARLY
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State | TX
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Zip | 76802-2130
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Country | US
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Telephone | 325-641-2541
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Fax | 254-213-7793
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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 | 13831
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License Number State | TX
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