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General NPI Number Information
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NPI Number | 1144727181
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Entity Type | Organization
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Legal Business Name | CHIROFX, LLC
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 04/06/2018
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Provider Practice Location Address
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Address Line | 4532 W GATE BLVD STE 200
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City | AUSTIN
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State | TX
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Zip | 78745-1410
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Country | US
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Telephone | 512-480-9999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 163713
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City | AUSTIN
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State | TX
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Zip | 78716-3713
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Country | US
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Telephone | 512-480-9999
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN MINORS
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Credential | D.C.
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Telephone | 512-480-9999
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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 | 7035
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License Number State | TX
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