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General NPI Number Information
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NPI Number | 1144568171
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Entity Type | Organization
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Legal Business Name | N5 WEIGHT MANAGEMENT AND SPORTS MEDICINE
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 01/25/2013
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Provider Practice Location Address
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Address Line | 650 GRAPEVINE HWY
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City | HURST
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State | TX
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Zip | 76054-2815
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Country | US
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Telephone | 409-383-9521
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Fax |
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Provider Business Mailing Address
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Address Line | 2605 JESSUP TRL
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City | ARLINGTON
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State | TX
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Zip | 76006-2811
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Country | US
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Telephone | 409-383-9521
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATHAN N WILLIAMS
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Credential |
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Telephone | 409-383-9521
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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 | 06507
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License Number State | TX
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