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General NPI Number Information
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NPI Number | 1275757908
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Entity Type | Organization
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Legal Business Name | BAKHSH CHIROPRACTIC CLINIC INC.
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 603 ISOM RD STE #103
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4455
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Country | US
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Telephone | 210-340-0333
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Fax | 210-340-0955
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Provider Business Mailing Address
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Address Line | 603 ISOM RD STE #103
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4455
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Country | US
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Telephone | 210-340-0333
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Fax | 210-340-0955
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FATTOLLAH NEJAT-BAKHSH
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Credential | D.C.
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Telephone | 210-340-0333
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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 | 9120
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License Number State | TX
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