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General NPI Number Information
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NPI Number | 1356617302
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Entity Type | Individual
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Provider Name | MONICA C KANU D.C., R.N.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 9304 FOREST LN N151
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City | DALLAS
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State | TX
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Zip | 75243-6238
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Country | US
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Telephone | 214-462-7922
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Fax | 214-613-7452
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Provider Business Mailing Address
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Address Line | 9304 FOREST LN N151
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City | DALLAS
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State | TX
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Zip | 75243-6238
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Country | US
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Telephone | 214-462-7922
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Fax | 214-613-7452
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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 | 10425
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License Number State | TX
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