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General NPI Number Information
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NPI Number | 1285804245
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Entity Type | Organization
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Legal Business Name | CROWN WELLNESS CENTER INC
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 777 S FRY RD STE 103
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City | KATY
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State | TX
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Zip | 77450-2297
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Country | US
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Telephone | 713-974-7300
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Fax | 713-974-7308
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Provider Business Mailing Address
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Address Line | 777 S FRY RD STE 103
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City | KATY
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State | TX
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Zip | 77450-2297
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Country | US
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Telephone | 713-974-7300
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Fax | 713-974-7308
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. LAUREN BHATTACHARYA
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Credential | DC
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Telephone | 713-974-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | TX
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