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General NPI Number Information
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NPI Number | 1366011900
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Entity Type | Organization
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Legal Business Name | GULF COAST HEALTHCARE
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Dates
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Enumeration Date | 06/18/2021
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 2825 EAST NASA PARKWAY
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City | SEABROOK
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State | TX
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Zip | 77586
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Country | US
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Telephone | 281-532-3160
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Fax |
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Provider Business Mailing Address
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Address Line | 2825 EAST NASA PARKWAY
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City | SEABROOK
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State | TX
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Zip | 77586
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Country | US
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Telephone | 281-532-3160
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Fax |
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Authorized Official
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Title or Position | OWNER/ DOCTOR OF CHIROPRACTIC
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Name | MARK WAYNE HILL
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Credential | D.C.
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Telephone | 832-385-5926
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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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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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