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General NPI Number Information
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NPI Number | 1326293804
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Entity Type | Individual
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Provider Name | JENNIFER LYNN FITCH D.C.
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Gender | Female
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 1305 SW LOOP 410 #227
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City | SAN ANTONIO
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State | TX
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Zip | 78227
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Country | US
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Telephone | 210-927-0000
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Fax | 210-670-9948
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Provider Business Mailing Address
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Address Line | 1305 SW LOOP 410 #227
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City | SAN ANTONIO
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State | TX
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Zip | 78227
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Country | US
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Telephone | 210-927-0000
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Fax | 210-670-9948
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 10143
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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 | 1585
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License Number State | NM
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