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General NPI Number Information
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NPI Number | 1275075517
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Entity Type | Organization
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Legal Business Name | ADJUST YOUR FITNESS CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 1008 WINSCOTT RD STE A
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City | BENBROOK
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State | TX
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Zip | 76126-2778
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Country | US
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Telephone | 817-249-8888
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Fax | 817-249-4098
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Provider Business Mailing Address
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Address Line | 1008 WINSCOTT RD STE A
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City | BENBROOK
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State | TX
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Zip | 76126-2778
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Country | US
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Telephone | 817-249-8888
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Fax | 817-249-4098
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. NEBILE ERDMANN
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Credential | DC
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Telephone | 817-703-8691
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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 | 13317
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License Number State | TX
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