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General NPI Number Information
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NPI Number | 1215357702
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Entity Type | Organization
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Legal Business Name | AAVANCE CHIROPRACTIC HEALTHCARE LLC
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 14210 HIGHWAY 3 STE B
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City | WEBSTER
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State | TX
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Zip | 77598-1603
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Country | US
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Telephone | 832-240-4319
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Fax |
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Provider Business Mailing Address
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Address Line | 14210 HIGHWAY 3 STE B
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City | WEBSTER
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State | TX
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Zip | 77598-1603
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Country | US
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Telephone | 832-240-4319
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Fax |
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Authorized Official
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Title or Position | DR ALICE HART DUFFER
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Name | DR. ALICE HART DUFFER
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Credential | CHIROPRACTOR
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Telephone | 832-240-4319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 12244
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License Number State | TX
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