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General NPI Number Information
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NPI Number | 1215663471
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Entity Type | Organization
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Legal Business Name | ABSOLUTE NATURAL HEALTH CENTER LLC
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 2700 W PECAN ST STE 204
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3070
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Country | US
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Telephone | 818-535-7335
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 W PECAN ST STE 204
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3070
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Country | US
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Telephone | 818-535-7335
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | AL BERRY
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Credential |
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Telephone | 323-676-1281
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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 |
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License Number State |
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