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General NPI Number Information
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NPI Number | 1184878019
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Entity Type | Organization
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Legal Business Name | NO PAIN CHIROPRACTIC
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 11/05/2008
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Provider Practice Location Address
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Address Line | 630 N HIGHWAY 67 STE. 7
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City | CEDAR HILL
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State | TX
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Zip | 75104-2156
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Country | US
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Telephone | 972-291-3466
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Fax | 972-291-6144
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Provider Business Mailing Address
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Address Line | 630 N HIGHWAY 67 STE. 7
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City | CEDAR HILL
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State | TX
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Zip | 75104-2156
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Country | US
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Telephone | 972-291-3466
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Fax | 972-291-6144
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Authorized Official
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Title or Position | OWNER
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Name | DR. GLENN RAYMOND DOOLEY
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Credential | D.C.
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Telephone | 972-291-3466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 6986
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License Number State | TX
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