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General NPI Number Information
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NPI Number | 1295225027
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Entity Type | Individual
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Provider Name | FLINT LEE LOUGHRIDGE JR. DC
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Gender | Male
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 05/17/2018
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Provider Practice Location Address
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Address Line | 8200 STONEBROOK PKWY STE 210
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City | FRISCO
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State | TX
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Zip | 75034-5588
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Country | US
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Telephone | 972-335-9733
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Fax |
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Provider Business Mailing Address
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Address Line | 2432 EMERALD LN
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City | MCKINNEY
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State | TX
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Zip | 75071-3182
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Country | US
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Telephone | 214-773-4915
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 13819
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License Number State | TX
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