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General NPI Number Information
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NPI Number | 1154350973
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Entity Type | Organization
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Legal Business Name | TRUE CHIROPRACTIC AND REHABILITATION, PA
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 3986 DOWLEN RD
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City | BEAUMONT
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State | TX
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Zip | 77706-6847
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Country | US
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Telephone | 409-833-9505
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Fax | 409-833-9525
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Provider Business Mailing Address
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Address Line | 3986 DOWLEN RD
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City | BEAUMONT
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State | TX
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Zip | 77706-6847
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Country | US
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Telephone | 409-833-9505
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Fax | 409-833-9525
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Authorized Official
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Title or Position | CHIROPRACTOR/PROPRIETOR
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Name | DR. CRAIG A. THIRY
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Credential | D.C.
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Telephone | 409-833-9505
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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 | 6932
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License Number State | TX
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