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General NPI Number Information
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NPI Number | 1306265525
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Entity Type | Organization
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Legal Business Name | YAEL GURWITZ D.C P.C
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 6318 FM 1488 RD 110
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City | MAGNOLIA
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State | TX
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Zip | 77354-2763
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Country | US
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Telephone | 954-242-8664
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Fax | 936-273-3371
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Provider Business Mailing Address
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Address Line | 110 COLTON CT
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City | MONTGOMERY
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State | TX
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Zip | 77316-1434
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Country | US
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Telephone | 954-242-8664
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Fax | 936-273-3371
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. YAEL GURWITZ-ELKIN
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Credential | DC
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Telephone | 954-242-8664
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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 | 12438
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License Number State | TX
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