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General NPI Number Information
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NPI Number | 1255650156
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Entity Type | Organization
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Legal Business Name | BACK AND NECK CARE OF ARLINGTON
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 1144 W PIONEER PKWY SUITE H
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City | ARLINGTON
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State | TX
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Zip | 76013-6389
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Country | US
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Telephone | 817-275-9249
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Fax | 817-275-9273
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Provider Business Mailing Address
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Address Line | PO BOX 151482
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City | ARLINGTON
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State | TX
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Zip | 76015-7482
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Country | US
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Telephone | 817-275-9249
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Fax | 817-275-9273
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Authorized Official
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Title or Position | OWNER
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Name | DR. NADER AWWAD
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Credential | D.C.
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Telephone | 817-275-9249
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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 | 7108
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License Number State | TX
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