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General NPI Number Information
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NPI Number | 1184312407
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Entity Type | Organization
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Legal Business Name | CORE-RECT CHIROPRACTIC AND WELLNESS LLC
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 06/01/2025
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Provider Practice Location Address
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Address Line | 17000 EL CAMINO REAL STE 201C
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City | HOUSTON
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State | TX
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Zip | 77058-2636
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Country | US
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Telephone | 832-310-3480
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Fax |
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Provider Business Mailing Address
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Address Line | 2507 S MISSION CIR
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5942
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Country | US
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Telephone | 832-310-3480
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Fax |
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Authorized Official
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Title or Position | OWNER/ DOCTOR
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Name | DR. UGOCHUKWU MAGNUS AGBILIBEAZU
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Credential | DC
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Telephone | 832-310-3480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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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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