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NPI 1164886115

NPI 1164886115 : NINA PRICE D.C : KATY, TX

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General NPI Number Information
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    NPI Number           |    1164886115
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    Entity Type          |    Individual 
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    Provider Name        |    NINA PRICE D.C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/06/2016
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    Last Update Date     |    04/06/2016
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Provider Practice Location Address
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    Address Line         |    830 S MASON RD 
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77450-3896
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    Country              |    US
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    Telephone            |    832-520-8520
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3702 KINGSBURG CT 
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77450-1016
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    Country              |    US
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    Telephone            |    713-412-1596
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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        |    111NP0017X
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    Taxonomy Name        |    Pediatric Chiropractor
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    License Number       |    13190
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    License Number State |    TX
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