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General NPI Number Information
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NPI Number | 1144400037
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Entity Type | Organization
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Legal Business Name | C & G CHIRO INC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 4003 RUSTIC WOODS DR SUITE D
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City | KINGWOOD
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State | TX
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Zip | 77339-2612
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Country | US
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Telephone | 281-674-4467
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Fax |
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Provider Business Mailing Address
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Address Line | 4003 RUSTIC WOODS DR SUITE D
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City | KINGWOOD
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State | TX
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Zip | 77339-2612
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Country | US
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Telephone | 281-674-4467
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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. ROBERT T GROSS
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Credential | DC
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Telephone | 281-674-4467
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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 | 6033
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License Number State | TX
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