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General NPI Number Information
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NPI Number | 1346576774
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Entity Type | Organization
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Legal Business Name | APEX CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 10/20/2009
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Provider Practice Location Address
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Address Line | 2430 FRY RD # 102
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City | HOUSTON
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State | TX
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Zip | 77084-5831
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Country | US
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Telephone | 281-829-5435
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Fax | 281-829-8511
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Provider Business Mailing Address
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Address Line | 1795 N FRY RD # 197
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City | KATY
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State | TX
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Zip | 77449-3347
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Country | US
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Telephone | 281-829-5435
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Fax | 281-829-8511
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Authorized Official
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Title or Position | PRESIDENT
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Name | TRACY THUYTIEN PHAM
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Credential | DC
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Telephone | 281-829-5435
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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 | DC8008
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License Number State | TX
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