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General NPI Number Information
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NPI Number | 1205912888
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Entity Type | Organization
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Legal Business Name | FAMILY CHIROPRACTIC CARE , PLLC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5819 HIGHWAY 6 SUITE 250
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4052
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Country | US
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Telephone | 281-208-8880
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Fax | 281-208-3032
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Provider Business Mailing Address
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Address Line | 5819 HIGHWAY 6 SUITE 250
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4052
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Country | US
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Telephone | 281-208-8880
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Fax | 281-208-3032
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTICS
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Name | DR. EDWARD RAE KAEMMERLING
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Credential | D.C.
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Telephone | 281-208-8880
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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 | 9418
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License Number State | TX
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