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General NPI Number Information
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NPI Number | 1265510630
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Entity Type | Organization
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Legal Business Name | WELLNESS WORLD CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1700 N ZARAGOZA RD STE 116
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City | EL PASO
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State | TX
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Zip | 79936-7966
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Country | US
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Telephone | 915-850-0900
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Fax | 915-850-0903
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Provider Business Mailing Address
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Address Line | 1700 N ZARAGOZA RD STE 116
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City | EL PASO
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State | TX
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Zip | 79936-7966
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Country | US
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Telephone | 915-850-0900
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Fax | 915-850-0903
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Authorized Official
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Title or Position | CO-OWNER
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Name | ALEJANDRO JIMENEZ
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Credential | DC
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Telephone | 915-850-0900
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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 | 5807
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License Number State | TX
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