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General NPI Number Information
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NPI Number | 1184031908
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Entity Type | Organization
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Legal Business Name | EBERLE-REAGAN, INC
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 7951 COLLIN MCKINNEY PKWY STE 1500
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City | MCKINNEY
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State | TX
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Zip | 75070-7823
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Country | US
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Telephone | 972-398-6419
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Fax |
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Provider Business Mailing Address
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Address Line | 13396 PRESTON RD
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City | DALLAS
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State | TX
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Zip | 75240-5208
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. CAMILLE CATHERINE REAGAN
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Credential | DC
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Telephone | 972-503-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 9065
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License Number State | TX
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