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General NPI Number Information
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NPI Number | 1326298381
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Entity Type | Organization
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Legal Business Name | WEST TEXAS CLINIC OF CHIROPRACTIC
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Dates
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Enumeration Date | 09/26/2008
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Last Update Date | 08/15/2011
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Provider Practice Location Address
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Address Line | 109 W 9TH ST
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City | PLAINVIEW
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State | TX
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Zip | 79072-7209
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Country | US
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Telephone | 806-293-4600
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Fax | 806-288-9406
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Provider Business Mailing Address
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Address Line | 109 W 9TH ST
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City | PLAINVIEW
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State | TX
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Zip | 79072-7209
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Country | US
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Telephone | 806-293-4600
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Fax | 806-288-9406
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. NATHANIEL ELI POCHUCHA
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Credential | D. C.
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Telephone | 806-293-4600
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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 | 10938
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License Number State | TX
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