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General NPI Number Information
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NPI Number | 1245434422
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Entity Type | Organization
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Legal Business Name | CHIRO MEDICAL ACUPUNCTURE CENTER
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 6988 WILCREST DR STE A
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City | HOUSTON
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State | TX
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Zip | 77072-2626
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Country | US
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Telephone | 281-564-8909
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Fax |
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Provider Business Mailing Address
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Address Line | 6988 WILCREST DR STE A
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City | HOUSTON
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State | TX
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Zip | 77072-2626
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Country | US
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Telephone | 281-564-8909
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Fax |
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Authorized Official
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Title or Position | MANAGER ASSISTANT
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Name | MRS. PHUONG L GILMORE
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Credential |
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Telephone | 281-564-8909
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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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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | F5948
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License Number State | TX
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