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NPI 1265707269

NPI 1265707269 : BARNETT FAMILY CHIROPRACTIC, PLLC : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1265707269
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARNETT FAMILY CHIROPRACTIC, PLLC 
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Dates
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    Enumeration Date     |    03/09/2012
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    Last Update Date     |    03/09/2012
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Provider Practice Location Address
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    Address Line         |    1116 S LAMAR BLVD 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78704-2300
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    Country              |    US
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    Telephone            |    512-444-1070
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    Fax                  |    512-444-1094
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Provider Business Mailing Address
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    Address Line         |    1116 S LAMAR BLVD 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78704-2300
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    Country              |    US
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    Telephone            |    512-444-1070
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    Fax                  |    512-444-1094
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. LISA HUNEYCUTT BARNETT 
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    Credential           |    DC
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    Telephone            |    512-444-1070
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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       |    9052
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    License Number State |    TX
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