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General NPI Number Information
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NPI Number | 1295280709
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Entity Type | Organization
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Legal Business Name | INNATEGIRL CHIROPRACTIC CARE, PLLC
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Dates
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Enumeration Date | 08/25/2016
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 1120 NASA PKWY STE 644
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City | HOUSTON
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State | TX
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Zip | 77058-2818
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Country | US
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Telephone | 409-539-1589
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 NASA PKWY STE 644
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City | HOUSTON
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State | TX
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Zip | 77058-2818
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Country | US
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Telephone | 409-539-1589
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GENEVA LEANN RICANO
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Credential | DC
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Telephone | 409-539-1589
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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 | 8763
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License Number State | TX
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