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General NPI Number Information
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NPI Number | 1124343322
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Entity Type | Individual
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Provider Name | RHEAGAN KHRISHA MULDER DC
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Gender | Female
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 03/15/2019
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Provider Practice Location Address
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Address Line | 1600 SMITH ST STE 4225
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City | HOUSTON
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State | TX
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Zip | 77002-7348
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Country | US
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Telephone | 713-652-9777
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Fax | 713-651-0584
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Provider Business Mailing Address
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Address Line | 548 EL DORADO BLVD
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City | WEBSTER
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State | TX
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Zip | 77598-2202
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Country | US
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Telephone | 281-286-8520
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Fax | 281-286-2947
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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 | 11430
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License Number State | TX
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