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General NPI Number Information
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NPI Number | 1265536775
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Entity Type | Organization
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Legal Business Name | RITA DAVIS CHIROPRACTIC CENTER, PLLC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 28427 TOMBALL PARKWAY
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City | TOMBALL
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State | TX
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Zip | 77375
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Country | US
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Telephone | 281-290-7100
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Fax | 281-255-8141
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Provider Business Mailing Address
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Address Line | 28427 TOMBALL PARKWAY
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City | TOMBALL
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State | TX
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Zip | 77375
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Country | US
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Telephone | 281-290-7100
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Fax | 281-255-8141
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Authorized Official
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Title or Position | OWNER
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Name | DR. RITA SHAWN DAVIS
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Credential | D.C.
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Telephone | 281-290-7100
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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 | 7123DC
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License Number State | TX
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