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General NPI Number Information
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NPI Number | 1295967016
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Entity Type | Organization
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Legal Business Name | AIRPORT CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 1144 AIRPORT BLVD STE 210
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City | AUSTIN
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State | TX
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Zip | 78702-3161
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Country | US
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Telephone | 512-926-0990
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Fax | 512-926-0993
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Provider Business Mailing Address
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Address Line | PO BOX 151
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City | AUSTIN
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State | TX
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Zip | 78767-0151
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | CHRISTINE HUGHES
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Credential | D.C.
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Telephone | 512-926-0990
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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 | 6553
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License Number State | TX
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