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General NPI Number Information
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NPI Number | 1356119531
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Entity Type | Organization
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Legal Business Name | RIVER CITY WELLNESS 2
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 1530 FM 973
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City | TAYLOR
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State | TX
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Zip | 76574-4540
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Country | US
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Telephone | 512-535-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 8708 S CONGRESS AVE STE 570
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City | AUSTIN
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State | TX
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Zip | 78745-7379
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Country | US
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Telephone | 512-535-4500
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Fax | 737-931-1966
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JARED CAPELOTO
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Credential | D.C.
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Telephone | 512-595-2818
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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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