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General NPI Number Information
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NPI Number | 1316800691
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Entity Type | Organization
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Legal Business Name | 100 CHIRO NORTH FRISCO LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 12021 DALLAS PKWY STE 200
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City | FRISCO
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State | TX
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Zip | 75033-8611
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Country | US
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Telephone | 469-922-3544
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Fax | 469-922-3546
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Provider Business Mailing Address
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Address Line | 20551 N PIMA RD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-9154
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Country | US
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Telephone | 719-217-0895
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | REBECCA LIVINGOOD
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Credential |
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Telephone | 719-217-0895
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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 |
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License Number State |
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