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General NPI Number Information
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NPI Number | 1093945388
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Entity Type | Organization
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Legal Business Name | ARBORETUM WELLNESS CENTER INC
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 08/08/2009
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Provider Practice Location Address
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Address Line | 9828 GREAT HILLS TRL SUITE 450
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City | AUSTIN
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State | TX
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Zip | 78759-6391
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Country | US
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Telephone | 512-343-2279
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Fax | 512-590-8712
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Provider Business Mailing Address
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Address Line | 9828 GREAT HILLS TRL SUITE 450
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City | AUSTIN
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State | TX
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Zip | 78759-6391
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Country | US
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Telephone | 512-343-2279
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Fax | 512-590-8712
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. GARRETT BARY
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Credential |
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Telephone | 512-343-2279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 9211
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0104
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 0202
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License Number State | TX
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