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General NPI Number Information
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NPI Number | 1346614427
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Entity Type | Organization
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Legal Business Name | ENVISION WELLNESS CENTRE
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 11/30/2015
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Provider Practice Location Address
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Address Line | 17629 EL CAMINO REAL SUITE 160
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City | HOUSTON
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State | TX
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Zip | 77058-2901
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Country | US
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Telephone | 281-486-7044
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Fax | 281-674-8443
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Provider Business Mailing Address
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Address Line | 17629 EL CAMINO REAL SUITE 160
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City | HOUSTON
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State | TX
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Zip | 77058-2901
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Country | US
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Telephone | 281-486-7044
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Fax | 281-674-8443
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID KINGCAID
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Credential | D.C.
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Telephone | 281-687-0082
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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 | 7018
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License Number State | TX
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