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General NPI Number Information
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NPI Number | 1356664049
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Entity Type | Individual
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Provider Name | LINDA OLUCHI EBERENDU D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 9555 LEBANON RD STE 801
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City | FRISCO
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State | TX
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Zip | 75035-6095
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Country | US
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Telephone | 972-712-0200
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Fax | 972-712-2303
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Provider Business Mailing Address
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Address Line | 1232 APACHE LAKE DR
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City | CARROLLTON
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State | TX
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Zip | 75010-1166
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Country | US
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Telephone | 972-897-9905
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Fax |
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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 | 10952
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License Number State | TX
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