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General NPI Number Information
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NPI Number | 1144181686
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Entity Type | Organization
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Legal Business Name | KINTROL REHAB AND SPORTRS PERFORMANCE
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 14801 INWOOD RD
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City | ADDISON
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State | TX
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Zip | 75001-3721
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Country | US
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Telephone | 469-213-8144
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Fax |
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Provider Business Mailing Address
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Address Line | 14801 INWOOD RD
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City | ADDISON
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State | TX
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Zip | 75001-3721
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Country | US
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Telephone | 469-213-8144
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/ OWNER
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Name | DR. ANDREW DO
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Credential | DC
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Telephone | 469-213-8144
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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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