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General NPI Number Information
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NPI Number | 1114862745
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Entity Type | Organization
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Legal Business Name | FATE FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 105 E FATE MAIN PL
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City | FATE
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State | TX
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Zip | 75087-6962
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Country | US
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Telephone | 972-431-0240
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Fax |
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Provider Business Mailing Address
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Address Line | 105 E FATE MAIN PL
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City | FATE
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State | TX
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Zip | 75087-6962
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Country | US
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Telephone | 972-431-0240
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TY RODRIGUEZ
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Credential | DC
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Telephone | 806-407-7255
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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 |
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License Number State |
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