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General NPI Number Information
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NPI Number | 1134472327
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Entity Type | Organization
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Legal Business Name | AFFINITY CHIROPRACTIC & WELLNESS
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 11700 LOUETTA RD
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City | HOUSTON
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State | TX
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Zip | 77070-1227
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Country | US
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Telephone | 281-376-7700
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Fax | 281-376-0622
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Provider Business Mailing Address
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Address Line | 11700 LOUETTA RD
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City | HOUSTON
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State | TX
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Zip | 77070-1227
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Country | US
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Telephone | 281-376-7700
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Fax | 281-376-0622
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Authorized Official
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Title or Position | SOLE MBR
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Name | DR. ERICA OBRIEN
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Credential | D.C.
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Telephone | 281-376-7700
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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 | 10732
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License Number State | TX
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