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General NPI Number Information
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NPI Number | 1265483507
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Entity Type | Individual
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Provider Name | TONY K TABARESTANI D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6535 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77074-2207
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Country | US
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Telephone | 713-981-8184
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Fax | 713-981-8114
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Provider Business Mailing Address
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Address Line | 14770 MEMORIAL DR STE 220
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City | HOUSTON
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State | TX
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Zip | 77079-5252
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Country | US
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Telephone | 281-493-5535
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Fax | 281-493-3353
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4143
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License Number State | TX
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