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NPI 1356352694

NPI 1356352694 : LISA A PULAY DC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1356352694
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    Entity Type          |    Individual 
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    Provider Name        |    LISA A PULAY DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/11/2006
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    Last Update Date     |    04/22/2008
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Provider Practice Location Address
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    Address Line         |    230 WESTCOTT ST SUITE 215
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77007-7094
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    Country              |    US
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    Telephone            |    713-880-4444
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    Fax                  |    713-880-3886
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Provider Business Mailing Address
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    Address Line         |    230 WESTCOTT ST SUITE 215
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77007-7094
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    Country              |    US
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    Telephone            |    713-880-4444
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    Fax                  |    713-880-3886
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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       |    10307
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    License Number State |    TX
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