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General NPI Number Information
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NPI Number | 1215471420
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Entity Type | Organization
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Legal Business Name | KOPAS CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 4150 SOUTHWEST DR SUITE 114
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City | ABILENE
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State | TX
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Zip | 79606-8222
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Country | US
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Telephone | 325-793-9989
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Fax | 325-793-9963
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Provider Business Mailing Address
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Address Line | 4150 SOUTHWEST DR SUITE 114
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City | ABILENE
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State | TX
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Zip | 79606-8222
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Country | US
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Telephone | 325-793-9989
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Fax | 325-793-9963
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. CORY MICHAEL KOPAS
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Credential | D.C.
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Telephone | 325-793-9989
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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 | 13315
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License Number State | TX
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