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General NPI Number Information
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NPI Number | 1114232071
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Entity Type | Organization
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Legal Business Name | KURBAN CHIROPRACTIC HEALTHCARE CLINIC, P.C.
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 2207 MICHIGAN AVE
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City | ARLINGTON
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State | TX
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Zip | 76013-5916
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Country | US
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Telephone | 817-795-1100
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Fax | 817-795-1329
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Provider Business Mailing Address
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Address Line | 2608 SMITH BARRY RD
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City | PANTEGO
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State | TX
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Zip | 76013-4712
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Country | US
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Telephone | 817-795-1100
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Fax | 817-795-1329
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JANETTE ALANE KURBAN
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Credential | D.C.
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Telephone | 817-795-1100
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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 | 8258
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License Number State | TX
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