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General NPI Number Information
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NPI Number | 1134981459
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Entity Type | Individual
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Provider Name | DAVID JEREMIAH REYES D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 3538 LAKEVIEW PKWY STE 100
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City | ROWLETT
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State | TX
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Zip | 75088-4090
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Country | US
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Telephone | 972-325-7578
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Fax |
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Provider Business Mailing Address
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Address Line | 5747 SADLER CIR APT 2347
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City | DALLAS
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State | TX
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Zip | 75235-6619
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Country | US
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Telephone | 813-363-0274
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Fax |
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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 | 15876
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License Number State | TX
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