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General NPI Number Information
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NPI Number | 1245746189
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Entity Type | Organization
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Legal Business Name | MJKFIT LLC
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 12/14/2017
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Provider Practice Location Address
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Address Line | 707 SUNSET ST
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City | DENTON
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State | TX
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Zip | 76201-2668
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Country | US
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Telephone | 214-455-3044
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Fax |
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Provider Business Mailing Address
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Address Line | 245 WARD NEAL RD
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City | BELLS
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State | TX
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Zip | 75414-3327
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER / MANAGER
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Name | KEVIN EDWARDS
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Credential |
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Telephone | 214-455-3044
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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 | 13269
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License Number State | TX
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Taxonomy #2
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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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