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General NPI Number Information
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NPI Number | 1225396781
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Entity Type | Organization
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Legal Business Name | DOCTOR HEALTH & REHAB CLINIC
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 6611 S LOOP FWY E
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City | HOUSTON
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State | TX
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Zip | 77087
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Country | US
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Telephone | 832-661-7232
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Fax |
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Provider Business Mailing Address
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Address Line | 3318 PECAN ST
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City | HOUSTON
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State | TX
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Zip | 77087-1234
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Country | US
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Telephone | 832-661-7232
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHAHDOKHT J GHEZELI
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Credential | DC
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Telephone | 832-661-7232
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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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