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General NPI Number Information
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NPI Number | 1316263189
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Entity Type | Organization
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Legal Business Name | THE TX ROOM
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 05/04/2016
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Provider Practice Location Address
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Address Line | 2845 PARKWOOD BLVD #200
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City | PLANO
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State | TX
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Zip | 75093-4574
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Country | US
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Telephone | 214-727-2430
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Fax |
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Provider Business Mailing Address
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Address Line | 14287 FAITH DR
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City | FRISCO
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State | TX
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Zip | 75035-7247
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Country | US
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Telephone | 214-727-2430
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRIS MCDOUGAL
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Credential | D.C.
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Telephone | 214-727-2430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 10294
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License Number State | TX
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