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General NPI Number Information
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NPI Number | 1265762447
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Entity Type | Organization
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Legal Business Name | C3 CHIROPRACTIC PA
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Dates
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Enumeration Date | 01/11/2010
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 6333 E MOCKINGBIRD LN SUTIE 223
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City | DALLAS
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State | TX
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Zip | 75214-2692
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Country | US
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Telephone | 940-565-8118
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Fax | 940-387-3070
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Provider Business Mailing Address
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Address Line | 6333 E MOCKINGBIRD LN SUTIE 223
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City | DALLAS
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State | TX
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Zip | 75214-2692
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Country | US
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Telephone | 940-565-8118
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Fax | 940-387-3070
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER BAILEY
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Credential | D.C.
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Telephone | 940-565-8118
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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 | 8275
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License Number State | TX
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