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General NPI Number Information
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NPI Number | 1154357507
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Entity Type | Organization
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Legal Business Name | AXIS REHAB CHIROPRACTIC PC
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1245 YALE ST
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City | HOUSTON
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State | TX
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Zip | 77008-6959
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Country | US
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Telephone | 713-862-3897
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Fax | 713-862-2273
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Provider Business Mailing Address
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Address Line | 1245 YALE ST
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City | HOUSTON
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State | TX
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Zip | 77008-6959
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Country | US
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Telephone | 713-862-3897
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Fax | 713-862-2273
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Authorized Official
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Title or Position | DOCTOR OWNER
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Name | DR. BIJAN ESHKEVARI SR.
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Credential | DC
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Telephone | 713-862-3897
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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 | 9309
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License Number State | TX
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