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General NPI Number Information
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NPI Number | 1164700357
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Entity Type | Individual
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Provider Name | JAMEELAH REID D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | 6310 LBJ FWY 218
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City | DALLAS
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State | TX
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Zip | 75240-6401
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Country | US
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Telephone | 972-701-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 GLENWWOD DR.
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City | IRVING
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State | TX
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Zip | 75060
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Country | US
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Telephone | 713-319-8866
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 11012
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License Number State | TX
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