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General NPI Number Information
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NPI Number | 1366972705
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Entity Type | Organization
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Legal Business Name | LMS CHIRO INC
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4634 CAMP BOWIE BLVD
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City | FORT WORTH
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State | TX
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Zip | 76107-3744
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Country | US
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Telephone | 817-375-3839
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Fax | 817-735-3837
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Provider Business Mailing Address
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Address Line | 4634 CAMP BOWIE BLVD
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City | FORT WORTH
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State | TX
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Zip | 76107-3744
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Country | US
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Telephone | 817-375-3839
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Fax | 817-735-3837
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN R. SAUL
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Credential | D.C.
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Telephone | 817-735-3839
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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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