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General NPI Number Information
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NPI Number | 1255761045
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Entity Type | Organization
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Legal Business Name | PROCARE GROUP INC.
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 2710 N JOSEY LN #302
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City | CARROLLTON
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State | TX
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Zip | 75007-5400
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Country | US
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Telephone | 214-483-3550
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Fax | 214-483-3551
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Provider Business Mailing Address
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Address Line | 2710 N JOSEY LN #302
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City | CARROLLTON
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State | TX
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Zip | 75007-5400
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Country | US
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Telephone | 214-483-3550
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Fax | 214-483-3551
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDRA POWERS
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Credential | D.C.
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Telephone | 214-483-3550
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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 | 10095
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License Number State | TX
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