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General NPI Number Information
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NPI Number | 1366593816
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Entity Type | Individual
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Provider Name | CHARLES DAVID WINDSOR DC
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 10/23/2009
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Provider Practice Location Address
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Address Line | 219 S CEDAR RIDGE DR
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4528
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Country | US
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Telephone | 972-283-0255
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Fax | 972-283-1585
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Provider Business Mailing Address
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Address Line | 2147 NECTAR DR
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City | MESQUITE
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State | TX
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Zip | 75149-8657
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Country | US
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Telephone | 972-991-9950
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Fax | 972-991-9548
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC6507
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License Number State | TX
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