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General NPI Number Information
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NPI Number | 1316233687
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Entity Type | Organization
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Legal Business Name | RIGGS REHAB AND SPORT PERFORMANCE
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Dates
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Enumeration Date | 06/24/2011
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Last Update Date | 06/24/2011
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Provider Practice Location Address
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Address Line | 3102 OAK LAWN SUITE 300
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City | DALLAS
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State | TX
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Zip | 75219-6419
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Country | US
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Telephone | 214-521-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 REAGAN ST SUITE 346
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City | DALLAS
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State | TX
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Zip | 75219-3305
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Country | US
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Telephone | 214-521-0600
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | BRIAN MARK RIGGS
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Credential | DC
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Telephone | 214-521-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 10422
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10422
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License Number State | TX
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