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General NPI Number Information
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NPI Number | 1306523790
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Entity Type | Organization
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Legal Business Name | TROWBRIDGE CHIROPRACTIC CLINIC, LLC
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 11200 MENCHACA RD STE 303
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City | AUSTIN
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State | TX
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Zip | 78748-2761
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Country | US
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Telephone | 956-543-5829
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Fax |
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Provider Business Mailing Address
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Address Line | 11200 MENCHACA RD STE 303
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City | AUSTIN
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State | TX
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Zip | 78748-2761
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Country | US
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Telephone | 956-543-5829
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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. TARA JANE MARIE TROWBRIDGE
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Credential | DC, MS
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Telephone | 956-543-5829
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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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