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General NPI Number Information
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NPI Number | 1174229173
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Entity Type | Organization
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Legal Business Name | GUARDADO CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 02/26/2023
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Provider Practice Location Address
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Address Line | 4425 PLANO PKWY STE 1702
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City | CARROLLTON
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State | TX
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Zip | 75010-5038
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Country | US
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Telephone | 469-346-6242
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Fax |
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Provider Business Mailing Address
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Address Line | 820 E DOVE LOOP RD APT 722
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City | GRAPEVINE
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State | TX
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Zip | 76051-7285
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Country | US
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Telephone | 469-346-6242
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KARINA GUARDADO
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Credential | DC
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Telephone | 469-346-6242
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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 |
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License Number State |
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