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General NPI Number Information
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NPI Number | 1316764202
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Entity Type | Organization
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Legal Business Name | ALEXIS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 1526 KINGWOOD DR
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City | KINGWOOD
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State | TX
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Zip | 77339-3042
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Country | US
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Telephone | 281-358-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 21516 TOWERGUARD DR
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City | KINGWOOD
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State | TX
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Zip | 77339-2182
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Country | US
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Telephone | 805-798-5500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXIS STREB
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Credential |
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Telephone | 805-798-5500
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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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